What can I expect after dialysis fistula surgery?
Recovery after surgery is a gradual process. Your arm may be sore for several days after surgery. Recovery time varies depending on the procedure, your general health, age, and other factors. It generally takes several months for the AV fistula to heal, enlarge and develop enough for dialysis access.
How is fistula surgery done for dialysis?
An AV fistula is how patients are connected to a dialysis machine. A nurse starts your dialysis treatment by inserting two needles into the AV fistula. One needle removes the blood and sends it to the machine, where it is filtered. The second needle allows the blood to be safely returned to the body.
Can a dialysis fistula be removed?
Removal of Noninfected Arteriovenous Fistulae after Kidney Transplantation is a Safe and Beneficial Management Strategy for Unused Dialysis Access.
How long does pain last after fistula surgery?
The stitches must stay in place at least 14 days or longer. Don’t have your family doctor remove them. How will my arm feel? You may have some pain for a few days.
Is fistula for dialysis painful?
Discomfort is minimal and you may even fall asleep during the 1 to 2 hour-long procedure. The surgical incision is usually only 2 to 4 inches long. Generally you are able to return home later that same day. The fistula usually requires from 8 to 12 weeks for the veins to dilate prior to initial use.
What should you not do with a fistula?
Do not take blood pressure measurements from your fistula arm • Do not have any blood tests taken from your fistula arm • No needles, infusions, or drips go in your fistula arm • Do not wear any tight or restrictive clothing on your fistula arm • Avoid sleeping on your fistula arm • Do not use sharp objects near your …
What is the most common complication of AV fistula?
The most important complications of fistulae for HD are lymphedema, infection, aneurysm, stenosis, congestive heart failure, steal syndrome, ischemic neuropathy and thrombosis. In HD patients, the most common cause of vascular access failure is neointimal hyperplasia.
How long can you live on dialysis?
Life expectancy on dialysis can vary depending on your other medical conditions and how well you follow your treatment plan. Average life expectancy on dialysis is 5-10 years, however, many patients have lived well on dialysis for 20 or even 30 years.
Which is better graft or fistula?
Why are AV Fistula Considered the Best Option for People with Kidney Disease? The AV fistula is preferred over grafts or catheters by most doctors for a number of reasons. It tends to offer the greatest amount of blood flow, so patients are in dialysis and uncomfortable for the shortest amount of time.
How serious is a fistula for dialysis?
Arteriovenous fistulas usually occur in the legs, but can develop anywhere in the body. Arteriovenous fistulas are often surgically created for use in dialysis in people with severe kidney disease. A large untreated arteriovenous fistula can lead to serious complications.
What happens when dialysis fistula stops working?
If your access is not working well, it can decrease the amount of fluid and toxin removal your dialysis treatment achieves. This, in turn, can affect your overall health and how you feel. If you suspect there’s a problem with your fistula, notify your dialysis care team right away.
Why do AV fistulas get so big?
An AV fistula causes extra pressure and extra blood to flow into the vein, making it grow large and strong. The larger vein provides easy, reliable access to blood vessels.
Can you sit after fistula surgery?
You must also be able to sit comfortably for a long period of time, even if you do not plan to go far. You might get caught in traffic. Most people are able to return to work within 1 to 2 weeks after surgery. Shower or take baths as usual.
Can you shower with a fistula?
If you have a graft or fistula, keep the dressing dry for the first 2 days. You can bathe or shower as usual after the dressing is removed. If you have a central venous catheter, you must keep the dressing dry at all times. Cover it with plastic when you shower.