Hello everyone I’m doctor Rozil Gandhi Interventional Radiologist Sushrut Hospital Ahmedabad.
Today we are going to talk about the fistula plasty procedure. Right now I’m going to give information about how to build a fistula and when to build a fistula.
Patients who are going through CKD Chronic Kidney disease and have the disease for a longer period of time. Patients who are having regular dialysis. If there is no urine then dialysis has to be done and it is necessary for life. Dialysis is done two to three times a week. To do dialysis regularly requires a Superficial Av fistula. AV means Arteriovenous fistula. In this procedure, we fix veins and arteries and because of that, there is a fast flow of blood in the veins.
Dialysis punctures the blood veins and this puncture cleans the blood in the vein. Many times these bad veins in our body block the fistula vein in our body.
What to do if the fistula vein blocks in our body?
Many times we have to make new fistulas in different parts of our body. By doing angioplasty we can reopen the fistula veins in our body. In Heart angioplasty when a Heart attack occurs we open the vein of the heart, the same way we open the fistula vein in our body with the help of angioplasty. With the help of wire, we close the fistula and make it like a balloon. With the help of this balloon plasty the fistula is open and this process is known as Fistula plasty.
The fistula plasty is done without any cut or stitches in the body. This process is done in the local anaesthesia in the body. The patient is discharged within the same day of the treatment. This procedure is the ideal procedure with life-saving for dialysis patients. By this procedure, you can continue only one fistula for a longer period of time so that we don’t have to create any fistula on the other hand and we can save remaining veins in our body.
Thank you so much for listening to this video and if you are having any questions or queries then just ask me and we will be very happy to answer all your questions.