AV Fistula & Dialysis Access

AV Fistula & Dialysis Access – Dr. Ritesh Gaikwad

An arteriovenous (AV) fistula is the gold-standard access for dialysis. Dr. Ritesh Gaikwad, renowned vascular and endovascular surgeon in Thane (Ghodbunder Road, ) and Mumbai, provides expert care in AV fistula creation, salvage, and maintenance — including treatment of central vein stenosis, thrombosis, and non-maturing fistulas. He performs these procedures at KIMS Hospital, Thane.

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Services Offered

AV Fistula Creation

Tailored vascular access based on detailed vein mapping and dialysis needs:

Standard Sites:

  • Radiocephalic Fistula (Wrist)
  • Brachiocephalic Fistula (Elbow)

Advanced & Complex Options:

  • Forearm and Arm Vein Transpositions
  • AV Grafts (Synthetic or PTFE)
  • Chest Wall Loop Grafts
  • Lower Limb AV Fistulas

Why Fistula Over Catheter?

  • Reduced infection risk
  • Better dialysis clearance
  • Long-term durability
  • Lower hospitalization rates

AV Fistula Salvage & Maintenance

Dr. Gaikwad offers both surgical and endovascular options for failing access:

  • Thrombectomy (clot removal)
  • Thrombolysis (clot-dissolving therapy)
  • Balloon Angioplasty (Fistuloplasty)
  • Stenting for venous or central vein stenosis
  • Re-anastomosis or vein patch repair
  • Hybrid open + endovascular procedures
  • Treatment of Central Vein Stenosis using stents or angioplasty to restore central blood flow

Why Choose Dr. Ritesh Gaikwad?

  • 15+ years of vascular access specialization
  • Expert in both first-time creation and redo/salvage procedures
  • Treats central vein stenosis, often missed by general care providers
  • Operates at KIMS Hospital, Thane access centres
  • Collaborative approach with nephrologists and dialysis teams

Conditions Treated

  • Clotted or thrombosed AV fistulas
  • Non-maturing fistulas
  • Venous aneurysm or pseudoaneurysm
  • Central vein stenosis (subclavian, brachiocephalic, SVC)
  • Dialysis machine alarms or low access flow
  • Repeated catheter placements

Techniques Used

  • Ultrasound-guided vein mapping
  • Intraoperative duplex assessment
  • Surgical thrombectomy
  • Catheter-directed thrombolysis
  • Venoplasty and stenting
  • Transposition and revision surgeries
  • Central vein recanalization and stenting

When to Consult

  • Loss of thrill/bruit in fistula
  • Poor dialysis clearance
  • Swelling of neck, chest, or limb (signs of central vein stenosis)
  • Repeated use of dialysis catheter
  • Access site bleeding, pain, or bulging

Locations

  • Clinic: Ghodbunder Road, Vasant Vihar, Hiranandani Estate, Thane
  • Hospital: KIMS Hospital, Thane
  • Consultation Services: Mumbai, Navi Mumbai, Mira Road, Dombivli, Mulund, Powai

Book a Consultation

  • Early access evaluation can prevent catheter use and preserve fistula function.
  • Call now On 9619332942 with Dr. Ritesh Gaikwad – Vascular Surgeon for AV Fistula and Central Vein Stenosis in Thane & Mumbai.