Treatments

AV fistula creation & maintenance.

The gold-standard dialysis access — minimally invasive creation and ongoing maintenance, in same-day office procedures built to last for years.

Overview

Why fistulas are the gold standard

An arteriovenous (AV) fistula is a surgically created connection between an artery and a vein, typically in the forearm. The high-pressure arterial flow strengthens the vein wall over time, building an access point sturdy enough to withstand large needles three times a week for years.

Compared to grafts and catheters, fistulas have the lowest infection rate, the longest patency (working lifespan), and the best long-term outcomes.

They're the preferred access for almost every patient who has the vessel anatomy to support one — which is why nephrology guidelines recommend creating a fistula as early as possible in patients heading toward dialysis.

Dr. Anton creates fistulas as an outpatient procedure right here in Pompano Beach. No hospital admission, no general anesthesia — and the team that creates the fistula is the team that maintains it.

How it works

From planning to first cannulation

01
Vessel mapping
A pre-operative ultrasound maps your arm veins and arteries to identify the best site for fistula creation — typically the wrist or upper arm of the non-dominant arm.
02
Outpatient procedure
Under local anesthesia and light sedation, Dr. Anton makes a small incision and surgically connects an artery directly to a nearby vein. The procedure takes 60–90 minutes.
03
Maturation
Over the following 6–12 weeks, the connected vein enlarges and thickens — "maturing" into a fistula strong enough to support repeated dialysis needles.
04
First cannulation
Once mature, your dialysis team begins using the fistula for treatments. We monitor it together for the first several weeks to ensure smooth function.
05
Long-term care
Regular surveillance — usually quarterly — catches narrowings early, often correctable with a single outpatient angioplasty before the fistula ever fails.
Why Dr. Anton

A specialist who owns the full lifecycle

Most dialysis patients see one surgeon to create their access and a different team to maintain it. At Florida Vascular Care, Dr. Anton does both. That continuity means he knows your anatomy from day one — and when something needs an angioplasty or declot, he knows exactly where to look.

With over 20 years caring for kidney patients, including UNOS-certified transplant nephrology training, Dr. Anton understands what dialysis takes out of a person. Every choice about access — site, timing, type — is made with your overall kidney journey in mind.

If you're heading toward dialysis or already started on a catheter, the sooner we plan a fistula, the better the long-term result. Many patients should have a fistula created three to six months before they actually need dialysis.
What to expect

Recovery and beyond

The procedure itself is short — you'll be in the office a few hours total and home the same day. You'll feel mild soreness and see some bruising for a week. Most patients are back to normal activity within 2–3 days, avoiding heavy lifting with the access arm.

Maturation — the period when the vein enlarges and toughens — takes 6–12 weeks. We coach you on exercises to help, watch ultrasound progress at follow-up visits, and intervene early if maturation stalls.

Ready to get
answers?
Schedule a consultation with Dr. Anton and find out which treatment is right for you.
Request Appointment
(561) 408-0304
Medicare & most insurance accepted
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