Vascular Access Surgery: AV Fistula Creation & Maintenance
Overview:
A durable, reliable vascular access is a crucial lifeline for patients undergoing chronic hemodialysis. Adhering strictly to European vascular access standards, Dr. Mohammad Edeis oversees the entire access journey—from detailed anatomical planning and meticulous surgical construction to ongoing endovascular salvage and revision.
Vascular Access Services:
- Pre-operative Vessel Mapping: High-resolution duplex ultrasound to evaluate vessel diameters and select optimal sites prior to surgery.
- Autologous AV Fistula Creation: Connecting an artery directly to a vein (radiocephalic, brachiocephalic, or brachiobasilic) to build high-flow access.
- Arteriovenous Graft (AVG) Placement: Implanting prosthetic graft material when native veins are unsuitable or exhausted.
- Fistuloplasty & Access Salvage: Minimally invasive balloon angioplasty to resolve central vein stenosis, poor blood flow rates, or impending access thrombosis.
- Complication Management: Surgical and endovascular management of pseudoaneurysms, steal syndrome, and acute access failure.
The Importance of Ongoing Surveillance:
Routine access monitoring ensures adequate dialysis delivery, prevents sudden clotting episodes, and significantly extends the life of your access.