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AV Fistula

AV fistula surgery in Lucknow at Kayakriti provides patients with kidney failure a durable, reliable route for haemodialysis. Led by Dr. Amit Agarwal, FRCS Edinburgh, our team uses microvascular technique to create arteriovenous fistulas that aim to support long-term dialysis with fewer complications than alternative forms of vascular access.

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About Kayakriti and Your Surgeon

A short walk-through of our Lucknow clinic, plus a brief introduction from Dr. Amit Agarwal.

A quick tour of Kayakriti clinic, Lucknow

A quick tour of Kayakriti clinic, Lucknow

Meet Dr. Amit Agarwal

Meet Dr. Amit Agarwal

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About AV Fistula at Kayakriti

Patients with end-stage kidney disease rely on dialysis to remove toxins that the kidneys can no longer clear. Sustainable dialysis depends on stable, repeatable access to the bloodstream. The AV fistula, created surgically by joining an artery to an adjacent vein, is widely regarded as the gold standard for this purpose because of its longevity and lower long-term infection risk compared with central venous catheters or synthetic grafts.

At Kayakriti, dialysis fistula creation is performed with attention to the individual anatomy of each patient. Most fistulas are formed in the forearm, often at the wrist, but elbow-level fistulas may be planned where forearm vessels are unsuitable due to repeated venepuncture. Pre-operative assessment includes clinical mapping of arteries and veins and, where necessary, duplex ultrasound to choose the most promising site for vascular access surgery.

The procedure is typically performed under local or regional anaesthesia, avoiding the additional risks of general anaesthesia for patients who often have multiple comorbidities. After surgery, the connected vein gradually thickens and dilates over several weeks, a process known as maturation. Once mature, it can be reliably cannulated for kidney dialysis treatment, supporting the high blood flow rates needed by modern dialysis machines.

Compared with other access options, a well-formed AV fistula offers improved blood flow, fewer infections, and a longer functional lifespan. However, success depends on the condition of the patient's vessels, glycaemic control, and careful post-operative care. We discuss realistic expectations openly, including the possibility that an alternative site may be needed if the first attempt does not mature, and we explain the warning signs that should prompt early review.

What people in Lucknow ask us about: dialysis fistula creation · vascular access surgery · kidney dialysis treatment

Common questions

Frequently asked questions

How much does AV fistula surgery in Lucknow cost?
Costs depend on the surgical site, anaesthesia type, hospital stay, and any pre-operative imaging. After consultation, our team shares a written estimate covering surgical fees, theatre charges, and follow-up. We aim to keep pricing transparent so patients and families can plan around dialysis schedules and any additional procedures the nephrology team may have advised.
Is AV fistula creation painful?
Surgery is performed under local or regional anaesthesia, so the procedure itself is not painful. Mild soreness, bruising, and tightness around the wound for a few days are common and usually controlled with simple analgesics. Patients should report severe pain, increasing swelling, numbness, or coldness of the hand, which warrant prompt clinical review.
How long does it take for the fistula to be ready for dialysis?
Maturation typically takes about six weeks, during which the connected vein thickens and dilates to handle dialysis flow rates. Some patients mature faster, others take longer, especially when the starting vessels are smaller or affected by previous venepuncture. We review the access clinically, and with ultrasound if needed, before clearing it for cannulation.
What results can I expect from an AV fistula?
A well-formed AV fistula can support reliable haemodialysis for many years, with lower infection and intervention rates than catheters or grafts. Outcomes depend on vessel quality, careful cannulation by the dialysis team, blood pressure control, and arm protection. Where a fistula does not mature, alternative sites or revision options are discussed honestly with the patient.
Real stories

What our patients say about Kayakriti

★★★★★
"Kayakriti Plastic Surgery & Dental Clinic is one of the best clinics — excellent doctors and a very professional team. The clinic is clean, well-maintained, and uses advanced technology. Doctors explain everything clearly and make you feel comfortable throughout the treatment. Highly recommended for both plastic surgery and dental care."
B R
★★★★★
"My big brother had a critical accident in August 2025 — his right foot was injured badly. Thanks to Dr Amit, the plastic surgery was a great success and now he is walking on his feet. Dr Amit is polite, humble, and guided us like family."
Arif Mekrani
★★★★★
"Dr Amit Agarwal is really a very good plastic surgeon — he operated on my leg. The treatment is really very good and the staff behaviour is very nice."
Ashish Kumar
★★★★★
"Dr Amit Agarwal performed surgery for diabetic foot on my father. We were very troubled before going to him; after his treatment the condition is much better. He debrided all the infection and did grafting on the same."
Anwar Khan
★★★★★
"Dr Amit Agarwal operated on my patient for a congenital defect. A renowned plastic surgeon of Uttar Pradesh with excellent post-operative results. He explains every step of the treatment very nicely and is very determined towards his work."
Ranjeet Kumar
★★★★★
"Dr Amit is very approachable, so it is easy to talk to him and ask all our queries. Before operating he explains the entire process with all the pros and cons. His staff is well-trained and well-behaved — I had a wonderful experience."
Shashimukesh Verma
★★★★★
"Dr Amit Agarwal operated on my sister who got burnt two years back, leaving burn scars in her neck area. With the help of tissue expanders he has cured her scars to the utmost. Thank you sir for the treatment."
Shantanu Bajpai
★★★★★
"Dr Amit Agarwal operated on my child for a congenital defect and has delivered brilliant results. We are completely satisfied with his treatment and recommend him to everyone."
Ajay Verma
★★★★★
"I consulted Dr Amit Agarwal for my son's gynaecomastia operation. His results have been very good — now my son is much more confident and comfortable with his looks after the operation."
Suneel Kumar
★★★★★
"Dr Amit operated on my patient for a lip augmentation surgery to give her lips a proper cosmetic shape. The post-operative results are very good — she is very satisfied."
Mohd Umair
★★★★★
"Dr Amit Agarwal operated on my son for gynaecomastia. Due to the puffiness in his chest he felt very embarrassed in public. Thanks to Dr Amit's treatment my son feels much better aesthetically and has gained a lot of confidence about his looks."
Shoaib Alam
★★★★★
"We consulted Dr Amit for cosmetic correction of my daughter's facial profile. He brought her upper jaw forward, surgically improving her appearance. It was a tough operation but the results are phenomenal — we are really satisfied with the look now."
Urmila Choudhary
★★★★★
"My son had his fingers joined since birth, causing a lot of functional problems. Dr Amit Agarwal performed syndactyly release on him. Now he is much better and there were no issues regarding post-operative complications."
Sunil Verma
★★★★★
"I got my rhinoplasty done under Dr Amit. The shape of my nose wasn't nice and my facial profile was getting hampered. Dr Amit elevated my nose to give it proper shape — now it is looking fine and I am very satisfied."
Sarwat Fatima
★★★★★
"Dr Amit Agarwal operated on my patient for deformed lips. He gave my patient a very aesthetic appearance and we are highly satisfied by the surgery. The cosmetic correction was successful with no complications."
Jayanti
★★★★★
"Dr Amit Sir is really a very good plastic surgeon — great nature, very cooperative staff, excellent scope for cosmetic treatment. Very happy and satisfied with the treatment. It really changed my life and enhanced my confidence."
Ravi Kashyap
★★★★★
"Dr Amit Agarwal performed cosmetic surgery on my nephew, who was facing a lot of issues with confidence due to gynaecomastia. After Dr Amit's treatment he is much better and has a boosted confidence level."
Upendra Kumar
★★★★★
"I met a road accident two months back and my ring finger fractured. My orthopaedic doctor recommended Dr Amit for the joint fracture management. After he operated, my condition is much better."
Rahul Singh
★★★★★
"Dr Amit Agarwal operated on my patient for vascular malformation. He removed the complete swelling through an operation which went well and the results are good. The staff kept us well informed at every step and the whole process went smoothly."
Prem Kumar
★★★★★
"My patient wasn't satisfied with the aesthetic appearance of her lips. Dr Amit performed a lip augmentation surgery — it made her lips look more full and richer. She is very satisfied with the results."
Chandan Kumar Verma
★★★★★
"We were very troubled after my son met a road accident in which his jaw got fractured. Dr Amit confirmed the diagnosis quickly and proceeded for the surgery — through plating he joined the bones of the jaw and stabilised it. The condition now is much better."
Amit Pandey
★★★★★
"My brother is diabetic and hurt his leg; the wound was not healing for a long time. Dr Amit debrided all the infected part and covered it with a flap. The wound is now healed — we are lucky we got the correct treatment on time."
Daram Singh

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