Introduction

For patients who depend on haemodialysis, having strong and reliable vascular access is critical. When natural veins cannot support a fistula, doctors recommend an AV (arteriovenous) graft. At Iswarya Hospital, OMR, Chennai, we perform brachio-cephalic straight (above elbow) AV grafts in advanced operation theatres, providing patients with dependable long-term dialysis access.

What Is a Brachio-Cephalic Straight AV Graft?

This procedure involves surgically connecting the brachial artery to the cephalic vein above the elbow using a synthetic graft placed in a straight line under the skin. This access point allows repeated needle insertions for haemodialysis without harming natural veins.

Why Is It Needed?

The brachio-cephalic straight graft is useful when:

1. Natural veins are not suitable for creating a fistula
2. Other vascular access options have failed
3. Patients need a quicker access compared to waiting for fistula maturity
4. Above-elbow placement offers better blood flow and durability

How Is It Done at Iswarya Hospital?

At Iswarya Hospital, this surgery is performed in sterile, fully equipped OTs. Steps include:

1. Identifying the brachial artery and cephalic vein above the elbow
2. Inserting a biocompatible graft in a straight position under the skin
3. Connecting the artery and vein through the graft
4. Ensuring high blood flow for dialysis use

Our multi-disciplinary team of vascular surgeons, nephrologists, and anaesthesia specialists ensures precision and patient safety throughout the procedure.

Benefits of Brachio-Cephalic Straight AV Graft

1. Provides long-term dialysis access
2. Allows high blood flow for effective dialysis
3. Positioned above the elbow for stability
4. Shorter time to use compared to fistulas
5. Performed under advanced monitoring at Iswarya Hospital

Recovery and Aftercare

1. Initial observation in our post-operative care unit
2. Guidance on wound care, hand exercises, and hygiene
3. Regular follow-ups to check blood flow and prevent complications
4. 24/7 access to emergency support if problems like clotting or infection occur

Why Choose Iswarya Hospital?

At Iswarya Hospital, OMR, Chennai, we combine expertise and technology to provide world-class vascular access procedures:

1. 400-bed Super-Speciality Facility with 14 advanced OTs and 72 departments including nephrology, vascular surgery, and dialysis care.
2. Cutting-edge Diagnostics like AI-powered CT, MRI, and cath labs for precision planning.
3. 24/7 Emergency and Dialysis Support, ensuring immediate care when needed.
4. Accessible Care – modern infrastructure with a focus on affordability and patient-centric services.

Conclusion

The brachio-cephalic straight (above elbow) AV graft is a safe and reliable choice for patients who need long-term haemodialysis access. At Iswarya Hospital, Chennai, we ensure every patient benefits from advanced surgical facilities, compassionate care, and continuous support for their dialysis journey.

FAQs

1. How is a straight AV graft different from a loop graft?

A straight graft runs directly between artery and vein, while a loop graft curves under the skin, offering more puncture sites.

2. When can this graft be used after surgery?

Usually within 2–3 weeks, which is faster than fistula maturation.

3. How long will the graft last?

With proper care, grafts can last for years, though some patients may need revisions.

4. Is the procedure painful?

The surgery is performed under anaesthesia, and post-surgery pain is managed with medications.

5. Why choose Iswarya Hospital for AV graft surgery?

Because of our advanced OTs, skilled vascular surgeons, multi-disciplinary care, and 24/7 dialysis support.