Successful Surgical Creation and Management of an Arteriovenous Fistula: A Case Report

Arteriovenous fistula (AVF) are the preferred method for vascular access in hemodialysis patients due to their long-term patency and lower risk of complications. This case report details the successful creation and management of an AVF in a 34-year-old male with stage IV chronic kidney disease (CKD), poorly controlled diabetes mellitus (DM), and hypertension (HTN). The AVF was surgically created using the Brescia-Cimino technique at Rajshahi Diabetic Association General Hospital, Bangladesh. Despite the patient's comorbidities, the fistula matured successfully after 45 days, allowing for uneventful initiation of hemodialysis. Postoperative management included regular Doppler ultrasound assessments and patient education on fistula care. This case highlights the importance of multidisciplinary care, including careful preoperative planning and meticulous postoperative follow-up, to achieve successful AVF outcomes in patients with complex medical histories. It underscores the critical role of individualized care in managing vascular access for hemodialysis.