Your dialysis access surgeon will explain the procedure and perform a physical exam, focusing on the arm or leg selected.
In the operating room, your arm or leg is cleansed with an antiseptic solution and sterile drapes are placed around it. An incision is made between the artery and vein, and the vessels to be joined are prepared.
If creating a fistula, your surgeon may divide the vein and sew one end to the side of the artery, or may sew the two vessels side-to-side without dividing the vein.
If a graft will be placed, your surgeon will sew it between the artery and vein.
The incision in your arm or leg will be closed and a sterile dressing will be applied.