Catheter-made fistulas
Endovascular AVF
Creating the fistula from inside the vessels with a catheter, without an arm incision, for selected cases depending on vessel anatomy.
Arteriovenous fistulas and dialysis catheters
Dialysis Access SurgeryAV fistulas and dialysis catheters
A fistula connects an artery to a vein in the arm, so the vein grows larger and stronger and can take dialysis needles for years. Good planning before surgery and follow-up after it make a big difference to how long the fistula lasts.
When to get checked
Signs that need assessment
If you have one or more of these signs, an early check makes treatment easier.
- A chronic kidney patient expected to start dialysis soon
- A weak or missing thrill in the fistula
- Swelling in the arm or face
- Prolonged bleeding after a dialysis session
- Visible bulging or enlargement of the fistula
Step by step
How is it treated?
A simple illustration of the steps. Tap any step or let it play on its own.
The illustration is for explanation only. Treatment plans differ from case to case and are set by the doctor after examination.
Around the world
The latest global advances
Modern techniques in the field, shared for awareness. Whether they suit your case is decided after examination and imaging.
Drug-coated balloons for fistulas
Drug-Coated Balloon
Treating fistula narrowing with a medication-coated balloon to lengthen the time between dilations.
Covered stents
Stent Graft
For recurrent narrowing at the vein outflow, helping the fistula keep working longer.
Ultrasound planning
Vessel Mapping
Measuring vessel diameters before surgery raises the chance that the fistula matures and succeeds.
When should I get a fistula?
Ideally well before starting dialysis so the fistula has time to mature, in coordination with your nephrologist.
How do I protect my fistula?
No blood pressure readings or blood draws on that arm, do not sleep on it or wear anything tight on it, and check the thrill every day.
My fistula stopped working. What now?
Contact the clinic immediately. Fast action makes a difference in whether the fistula can be saved.
What is the difference between a fistula and a permanent catheter?
A permanent catheter (PermCath) is a quick route to dialysis, but a fistula is the better long-term option for most patients.
Other specialties
Learn about our other specialties
Visit the clinic
Shall we arrange your visit?
Contact the clinic for available times and to book an appointment that suits you.
- 74 Omar Lotfy St., Camp Caesar (directly on the tram line), Athena Tower, next to El Fagala Bookshops, above Conrad Tourism, 1st floor (elevator available), Alexandria
- WhatsApp 0106 262 5219
- Clinic 0122 254 7573
- Emergency 0127 356 4201