Connecting an artery to a vein to create good blood flow for dialysis treatments
Dialysis cleans and filters your blood in a machine that is connected to your blood vessels with two tubes. One method used to help your blood to flow freely through the tubes is to create a fistula.
A fistula is created by surgically attaching a vein to an artery, which allows the vein to enlarge and become thicker, like an artery. This type of access is known to have fewer complications and last longer than catheters or grafts.
Our Vascular and Endovascular Program allows surgeons to work with kidney specialists to determine the best dialysis access for your unique and complex conditions. Our doctors work at multiple locations, meaning you can get treatment close to home.
Procedure
You may be asked to not eat or drink before the surgery. If you are taking any medications, ask your doctor if you should take them the day of your procedure. You will receive a sedative and a local anesthetic, but you likely will not require general anesthesia.
Your doctor will make a small incision in your arm and connect a portion of your artery to a vein. The incision will be closed and covered with a bandage. You will be taken to a recovery area and monitored for several hours.
You will likely be able to return home the day of the procedure, but someone will need to drive you. The fistula may take several weeks to fully enlarge, and your doctor may recommend special exercises to increase blood flow.
Tests
Fluoroscopy
A fluoroscopy is an imaging technique that uses a continuous X-ray beam passed through the body to create real-time, moving images of your internal structures.
Our providers
Location: Change location Enter your location
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Othman Mohamed-Asem Abdul-Malak, MD
Vascular Surgery
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Kristin M Brindisi, PA
Vascular Surgery
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Javairiah Fatima, MD
Vascular Surgery
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Sadia Ilyas, MD
Vascular Surgery
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Misaki Mikki Kiguchi, MD
Vascular Surgery
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Suzanne Siefert Kool, MD
Vascular Surgery
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Wendy S. Lobo, AGACNP-BC
Vascular Surgery
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Krystal C. Maloni, MD
Vascular Surgery
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Donna Yvonne Norris, ACNP-BC, FNP-BC
Vascular Surgery
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Mark O'Brien Peeler, MD
Vascular Surgery
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Kyle B. Reynolds, MD
Vascular Surgery
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Irina Shraga, ANP-BC
Vascular Surgery
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Lauren Elizabeth Van Winkle, PA
Vascular Surgery
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Lisa Anne Yager, AGPCNP-C
Vascular Surgery
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Sarkis Garabet Aghazarian, MD
Vascular Surgery
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Naren Gupta, MBBS
Vascular Surgery
Show All
Our locations
Distance from Change locationEnter your location
MedStar Good Samaritan Hospital
5601 Loch Raven Blvd. Baltimore, MD 21239
MedStar Union Memorial Hospital
201 E. University Pkwy. Baltimore, MD 21218
MedStar Franklin Square Medical Center
9000 Franklin Square Dr. Baltimore, MD 21237
MedStar St Mary's Hospital
25500 Point Lookout Rd. Leonardtown, MD 20650
MedStar Washington Hospital Center
110 Irving St. NW Washington, DC 20010
MedStar Georgetown University Hospital
3800 Reservoir Rd. NW Washington, DC, 20007
MedStar Montgomery Medical Center
18101 Prince Philip Dr. Olney, MD 20832
MedStar Southern Maryland Hospital Center
7503 Surratts Rd. Clinton, MD 20735
Ask MedStar Heart & Vascular Institute
Have general questions for our heart and vascular program? Email us at AskMHVI@medstar.net. If you have clinically-specific questions, please contact your physician’s office.