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Vascular Access for Dialysis Procedures

AV Graft Applications

AV grafts are used in patients who require hemodialysis but whose own veins are not suitable for creating an AV fistula. This permanent vascular access method involves the use of an artificial vessel (graft) to establish dialysis access.

Procedure Duration :

60 - 90 min

What is an AV Graft?

An AV graft is an artificial vascular connection placed between an artery and a vein, typically made from synthetic material (PTFE). This graft provides an appropriate access route for dialysis needles.

When is an AV Graft Preferred?

  • Patients whose natural veins are not suitable for AV fistula
  • Cases where previously created AV fistulas have failed
  • Patients who need to start dialysis urgently or in a short period of time
  • Elderly patients or those with widespread vascular disease

How is the AV Graft Procedure Performed?

Before the procedure, vascular mapping is done using Doppler ultrasonography. The AV graft is typically surgically placed in the arm area under local or general anesthesia. The procedure usually lasts between 60–90 minutes.

How Long Does it Take for an AV Graft to Be Ready for Use?

AV grafts can be used in a shorter time compared to AV fistulas. In most cases, dialysis can begin within 2–3 weeks. However, this period may vary depending on the type of graft and the patient’s condition.

For detailed information about AV graft procedures and to schedule an appointment, feel free to contact us.

  • An effective option for patients for whom an AV fistula cannot be created
  • The ability to start dialysis in a short time
  • Providing stable and sufficient blood flow
  • Higher risk of infection compared to an AV fistula
  • Possibility of stenosis and thrombosis
  • Need for regular follow-up and occasional revision
  • Regular clinical evaluations and Doppler ultrasound examinations
  • Monitoring for early development of stenosis or thrombosis
  • Angioplasty or surgical revision when necessary

AV graft placement is an appropriate alternative for patients who require dialysis and whose native vessels are not suitable for creating an AV fistula. The treatment decision is made based on an evaluation of the vascular structure and overall health status.

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