AV fistula surgery is an important procedure for patients who need long-term hemodialysis because of chronic kidney disease (CKD) or end-stage renal disease (ESRD). The surgery connects an artery to a vein directly, which helps create a strong and steady blood flow during dialysis.
At Medicover Hospitals, this surgery is done by experienced vascular surgeons using modern imaging and microsurgical methods. These techniques ensure that the fistula (access point) is durable, safe, and ready for regular dialysis use.
What is AV Fistula Surgery?
An AV fistula is a surgical connection made between an artery and a nearby vein, usually in the forearm or upper arm. This connection improves blood pressure and flow inside the vein, helping it grow stronger and thicker for dialysis access.
Compared to catheters or synthetic grafts, an AV fistula is considered the best and longest-lasting option. It offers a steady blood supply, lowers infection risk, and remains functional for several years when cared for properly.
Key Insights
| Parameter | Details |
|---|---|
| Surgery Name | AV Fistula Surgery (Arteriovenous Fistula Creation) |
| Type | Vascular Access Surgery for Hemodialysis |
| Performed By | Vascular Surgeon / Nephrologist |
| Anesthesia | Local or Regional |
| Duration | 1-2 Hours |
| Hospital Stay | 1 Day (usually) |
| Recovery Time | 4-6 Weeks (Fistula Maturation) |
| Success Rate | 90-95% |
| Average Cost | Rs. 30,000 - Rs. 90,000 |
Benefits of AV Fistula Surgery
AV fistula surgery offers several benefits, including:
- Long-lasting access for dialysis
- Lower chances of infection compared to catheters
- Better blood flow and dialysis outcomes
- Reduced risk of clots or blockages
- Quick recovery and minimal complications
- Cost-effective in the long term
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Get Second OpinionAV Fistula Surgery Cost in India
In India, the average cost of AV fistula surgery ranges between Rs. 30,000 and Rs. 90,000. The final cost depends on the hospital, surgeon's experience, anesthesia type, and the complexity of the patient's condition.
This surgery connects an artery and a vein, usually in the arm, to create a strong access point for dialysis in patients with chronic kidney disease. It's a safe and long-term solution for effective hemodialysis.
Basic Cost Components
- Vascular Surgeon's Fee
- Hospital and Operation Theatre Charges
- Anesthesia Costs
- Pre-Surgery Tests (Blood Tests, Doppler Scan)
- Medications and Dressing Materials
- Follow-Up Visits for Monitoring Fistula Maturity
AV Fistula Surgery Cost in Major Indian Cities
| City | Average Cost (INR) |
|---|---|
| Hyderabad | Rs. 35,000 - Rs. 85,000 |
| Bangalore | Rs. 40,000 - Rs. 90,000 |
| Navi Mumbai | Rs. 38,000 - Rs. 88,000 |
| Pune | Rs. 30,000 - Rs. 80,000 |
| Vizag | Rs. 32,000 - Rs. 75,000 |
Disclaimer: Prices may vary with hospital standards, surgeon experience, and patient condition.
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Factors Affecting AV Fistula Surgery Cost
The total cost of AV fistula surgery depends on:
- Hospital facilities: Advanced hospitals may charge higher.
- Surgeon's experience: Senior specialists may have higher consultation charges.
- Preoperative tests: Blood tests and vein mapping add to the total.
- Anesthesia type: Regional or local anesthesia influences the price.
- Postoperative care: Follow-ups and medicines contribute to overall expenses.
- Location: Costs differ between private and public hospitals or by city.
AV Fistula Surgery at Medicover Hospitals
At Medicover Hospitals, AV fistula surgeries are done by expert vascular surgeons and nephrologists using advanced microsurgical methods. The focus is on patient comfort, safety, and long-term success. From diagnosis and pre-surgery planning to follow-ups, we ensure every dialysis patient receives strong, reliable, and safe access for their treatment.

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040-68334455Frequently Asked Questions
Yes, most patients can lead a normal life after AV fistula surgery. Once the fistula heals and is functioning properly for dialysis, patients can perform daily activities, work, and exercise with minimal restrictions. Proper care and monitoring are essential to keep the fistula healthy.
If an AV fistula fails, it can no longer provide adequate blood flow for dialysis. This may require the creation of a new fistula or the use of a temporary catheter for dialysis until a new access site is ready. Early detection of problems helps prevent serious complications.
No, an AV fistula does not turn cancerous. It is a surgically created connection between an artery and vein for dialysis and is not associated with cancer risk.
Delaying fistula surgery is generally not recommended if you require long-term dialysis, as a mature fistula is essential for safe and effective treatment. Planning surgery ahead of time allows the fistula to mature properly before it is needed.
Yes, AV fistula creation is considered a minor surgical procedure. It is usually performed under local anesthesia with minimal discomfort, and most patients can go home the same day or after a short hospital stay.