For patients with kidney failure requiring long-term dialysis, a reliable vascular access is essential. The best and most preferred option is an AV fistula (Arteriovenous Fistula).

At Inova Hospital, Kathmandu, we provide expert AV fistula surgery to ensure safe, durable, and efficient dialysis access.

Procedures are performed by Prof. Dr. Dinesh Chapagain, an experienced vascular surgeon specializing in dialysis access and complex vascular conditions.

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🧠 WHAT IS AN AV FISTULA

An AV fistula is a surgical connection between an artery and a vein, usually created in the arm.

This connection allows:

• Higher blood flow
• Stronger vein for dialysis
• Long-term reliable access

It is considered the gold standard for hemodialysis access.

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⚠️ WHO NEEDS AV FISTULA

AV fistula is recommended for:

• Patients with chronic kidney disease (CKD)
• Patients requiring long-term dialysis
• Patients preparing for dialysis

Early creation is advised to allow proper maturation.

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⚙️ HOW AV FISTULA SURGERY IS DONE

The procedure is simple and safe:

1. Local anesthesia is given
2. A small incision is made in the arm
3. Artery and vein are connected
4. Wound is closed with minimal stitches
5. Procedure usually takes 1–2 hours

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⏳ MATURATION OF AV FISTULA

After surgery, the fistula needs time to mature:

• Usually 4–8 weeks
• Vein becomes stronger and larger
• Ready for dialysis use

Proper care is important during this period.

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⚡ BENEFITS OF AV FISTULA

• Long-lasting access
• Lower risk of infection
• Better dialysis efficiency
• Fewer complications compared to catheter
• Cost-effective long term

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⚖️ AV FISTULA VS OTHER ACCESS TYPES

Type	AV Fistula	Dialysis Catheter
Infection Risk	Low	High
Lifespan	Long	Short
Blood Flow	Excellent	Moderate
Complications	Minimal	Higher

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👨‍⚕️ AV FISTULA SURGEON IN KATHMANDU

Consult
Prof. Dr. Dinesh Chapagain

• Experienced in dialysis access surgery
• Skilled in complex vascular procedures
• High success rate in fistula creation
• Focus on long-term patient outcomes

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🏥 WHY CHOOSE INOVA HOSPITAL

• Expert vascular surgeon
• Safe and sterile surgical environment
• Affordable treatment packages
• Located in Lazimpat, Kathmandu
• Complete support for dialysis patients

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🧴 CARE AFTER AV FISTULA SURGERY

After surgery:

• Keep the arm clean and dry
• Avoid heavy lifting
• Check for vibration (thrill) daily
• Follow doctor instructions strictly

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🚨 WARNING SIGNS AFTER SURGERY

Seek medical help if you notice:

• No vibration in fistula
• Swelling or redness
• Severe pain
• Bleeding
• Fever

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💰 COST OF AV FISTULA SURGERY IN KATHMANDU

Cost depends on:

• Type of fistula
• Patient condition
• Complexity of surgery

👉 Contact Inova Hospital for exact pricing and consultation.

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📞 CALL TO ACTION

📍 Inova Hospital, Lazimpat, Kathmandu
📞 Call/WhatsApp: 9802348721

👉 Book consultation with
Prof. Dr. Dinesh Chapagain today