A reliable vascular access point is essential for patients undergoing dialysis. Traditionally, arteriovenous fistulas (AVFs) have been surgically created to connect an artery to a vein, allowing for efficient blood flow during dialysis. While these surgical fistulas are effective, they often have visible scars and longer recovery times. However, advancements in medical technology have introduced a less invasive option: the percutaneous arteriovenous fistula (pAVF). This modern technique not only offers functional benefits but also provides improved cosmetic outcomes.
A percutaneous arteriovenous fistula is a minimally invasive procedure that creates an AVF without traditional open surgery. Instead of making large incisions, a pAVF is created using catheters and image guidance. This approach involves inserting a small needle into the vein and artery, typically in the arm, and using a specialized device to connect the two blood vessels.
This technique is often performed in an outpatient setting and offers numerous advantages, especially compared to the traditional surgical method.
One of the most significant advantages of a percutaneous arteriovenous fistula is the improved cosmetic result. There is minimal scarring since pAVF procedures require only small punctures rather than large incisions. Here’s how pAVF enhances cosmetic outcomes:
Beyond the cosmetic benefits, pAVFs offer additional advantages when it comes to recovery and complications:
While the cosmetic and recovery benefits of pAVF are important, it’s crucial to note that pAVFs provide the same functionality as surgically created fistulas. Both types of fistulas allow for efficient and reliable access for dialysis treatments, ensuring that the blood flow required for dialysis is uninterrupted. Studies have shown that pAVFs have similar long-term durability and success rates to traditional AVFs, making them a viable alternative for many patients.
Not all patients are candidates for pAVF, but this option is ideal for those who prefer a less invasive procedure and seek a more cosmetically pleasing result. The decision to pursue a pAVF is made after thoroughly evaluating the patient’s vascular health and overall medical condition. Your vascular specialist will consider factors such as the size and health of your blood vessels, previous dialysis access, and your specific medical needs.
For dialysis patients seeking a reliable vascular access option with improved cosmetic outcomes, percutaneous arteriovenous fistulas (pAVFs) offer a modern and less invasive solution. With smaller incisions, reduced scarring, and faster recovery times, pAVFs are an excellent option for those looking to balance the functional needs of dialysis with the desire for a more aesthetically pleasing result.
At California Vascular Health Specialists, we are committed to providing the latest in minimally invasive vascular care. If you are considering dialysis access options, contact us today to learn whether a percutaneous arteriovenous fistula is right for you.
Let us help you find the best solution for your dialysis needs while ensuring your comfort and satisfaction with your vascular health.
I highly recommend Dr.Zakowsky. I was introduced to him in rather urgent circumstances as I needed surgery immediately. Dr.Zakowsky not only performed a successful surgery, his follow-up was amazing. He is very caring and nurturing and makes his patients feel that they are important.
-Donna J.
I could barely walk. I saw a half dozen specialists, no one could figure it out. Then I got a referral to Dr.Z. He Diagnosed the problem promptly. No surgery is good, but he was attentive, caring, and thorough and now I can walk, ride my bike, and enjoy life again.
- Peter L.
His deep understanding of vascular health, combined with his skillful, compassionate treatment, ensures that patients feel informed and comfortable throughout their care. I’m grateful to have a specialist as knowledgeable and dedicated as Dr. Zarkowsky—truly one of the best!
-Karen D.
Schedule your appointment within 1-3 days! No referral needed. Call us directly at (858) 304-0117.
For any questions, send us a message and we'll get back to you as soon as possible.
591 East Elder Street
Suite B
Fallbrook, CA 92028
Office Hours:
Monday – Friday | 10am – 6pm
Get breakthrough news and stay ahead of vascular issues. Our newsletter delivers prevention tips, healthy habits, and cutting-edge news about new treatments & advancements in vascular health.
Thank you for signing up. Keep an eye on your inbox.
California Vascular Health Specialists. All Rights Reserved.