A working arteriovenous (AV) fistula is the safest long-term access for hemodialysis. Aastha Kidney & Specialized Hospital runs an AV fistula and vascular access clinic with a visiting cardiothoracic and vascular surgeon, so dialysis patients from Pokhara and the Gandaki region do not have to travel for access surgery.
Who should attend
- Patients starting hemodialysis who are still using a catheter
- Patients whose fistula is slow to mature, blocked, or difficult to needle
- Patients with a temporary catheter who need permanent access
- Anyone referred by their nephrologist for vascular access assessment
How to book
Clinic and surgery dates follow the visiting surgeon’s schedule. Ask the dialysis unit or the OPD desk for the next date, and bring your recent kidney function report and dialysis record. Your nephrologist will confirm suitability and explain how to prepare.