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This is important to appreciate as it might signify that there is a narrowing as the fistula travels up the arm round the shoulder and into the great veins. Arteriovenous fistulas are the preferred initial access compared to prosthetic grafts or hemodialysis catheters. A drawback of a fistula is that, over time, the blood vessels in your arm may become enlarged and bumpy because of high volumes of blood passing through, and needles being inserted into your fistula at every dialysis session.

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It takes roughly 3 months to mature to be ready to use These exercises are intended to strengthen and dilate the blood vessels of your fistula arm, helping yo. Your surgeon will give you some exercises you should do to help it along.

Furthermore, arteries have a very strong pulse and high pressure, which is not ideal for dialysis treatment

Therefore we need a special blood vessel called fistula. Pulsatility is an important property of hemodialysis arteriovenous fistulas (avf) and its strength on palpation can be used to assess the severity of avf stenosis. You may experience a rise in the pressure of the venous or arterial chamber on the dialysis machine (the pressure to and from your fistula or graft) This can cause the dialysis machine to alarm frequently.

Most people have a fistula for their dialysis treatment There are other ways of taking blood out of the body for dialysis Together these are called vascular access In this leaflet we explain what a fistula is, about the operation and how to take care of your fistula at home.