How long does an AV fistula last?
A well-maintained AV fistula can last for many years, sometimes decades, making it far superior to catheters or grafts.
Treatment
AV fistula care
How to care for an arteriovenous fistula used for hemodialysis access.
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Short Answer
An AV fistula is the safest and most durable form of dialysis access; proper care extends its life and prevents infections and clotting.
Medical Facts
- A healthy fistula should have a palpable thrill (vibration); loss of thrill may indicate clotting and requires urgent attention.
- Fistulas typically need 6-8 weeks to mature before first use; planning ahead of dialysis start is essential.
- Avoid blood pressure measurements, blood draws, and tight clothing on the fistula arm.
Treatment or Donation Options
- Check your fistula daily for thrill and report any changes immediately.
- Keep the fistula arm clean and moisturized; avoid scratching or picking at needle sites.
- Discuss fistula maturation timeline with your vascular surgeon and nephrologist.
FAQ
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