An arteriovenous (AV) graft is an alternative form of permanent dialysis access used when a patient’s native blood vessels are not suitable for AV fistula creation. At IMH, AV graft placement is offered as a safe, effective solution within a comprehensive dialysis access program.

An AV graft involves surgically connecting an artery and vein using a synthetic tube, which serves as the access site for hemodialysis. Compared to fistulas, grafts mature more quickly and can be used sooner, making them suitable for patients who require timely dialysis initiation.

AV grafts are commonly recommended for patients with small or damaged veins, previous failed fistulas, or urgent dialysis needs. While grafts carry a higher risk of infection and clotting than fistulas, careful surgical technique and vigilant monitoring significantly reduce complications.

Pre-operative planning includes vascular imaging, infection risk assessment, and coordination with nephrology to ensure appropriate timing. The procedure is performed under controlled conditions with emphasis on preserving future access options.

Post-operative care focuses on wound healing, graft surveillance, and early detection of complications such as thrombosis or infection. IMH provides structured access monitoring and prompt intervention when issues arise. With a multidisciplinary approach, AV graft placement at IMH ensures reliable dialysis access while maintaining patient safety and quality of life.