Dialysis Fistula & Vascular Access
Patients with end-stage renal disease need reliable vascular access before starting haemodialysis. An arteriovenous fistula — surgically joining an artery to a vein in the arm — is the gold-standard access.
What it involves
Dr Marais creates radiocephalic, brachiocephalic and brachiobasilic fistulas as anatomy allows. He also revises failing fistulas and places tunnelled dialysis catheters when a fistula is not yet mature or has failed.
When it's indicated
As soon as a nephrologist identifies a patient heading towards dialysis. Fistulas need six to twelve weeks to mature before they can be used — early referral matters.
The approach
This is one of the quieter parts of the practice, referred by nephrologists rather than patients directly. It is also one of the most satisfying — a well-made fistula transforms years of dialysis life.
Discuss dialysis fistula & vascular access with Dr Marais
Send a short enquiry and the practice will be in touch during weekday office hours. Consultations take place at Johannesburg Surgical Hospital.
Next procedure
10General Surgical Emergencies →Appendicitis, bowel obstruction, incarcerated hernia and acute abdomen.