About Doctor

Expertise in Vascular & Endovascular Care, With Compassion For Every Patient

About Doctor

Expertise in Vascular & Endovascular Care, With Compassion For Every Patient

Dr. Gurunathreddy B is a leading Vascular and Endovascular Surgeon in Bangalore with 7+ years of experience in treating complex vascular conditions. He heads the Vascular Surgery Division at St. John’s Medical College & Hospital, Sarjapur Road, and has performed over 3,000 successful procedures, including varicose veins, diabetic foot, peripheral artery disease, AV fistula, and aneurysm surgeries.

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    +

    Years of expertise

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    +

    Vascular cases Treated

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    +

    Varicose vein cases treated

  • Advanced vascular & endovascular care

  • Patient-centric, ethical treatment

  • Focus on limb preservation & saving life

  • Minimally invasive treatment options

  • Clear communication & long-term follow-up

5:00 PM - 8:00 PM

+91 9019929234

Vascular Services

Understanding the Full Spectrum of Vascular
Diseases & Treatments

  • Understanding
    Varicose Veins
  • Lower Limb Arterial Diseases & Gangrene
  • Endovascular
    Treatments
  • Dialysis Access
    Procedures – AV Fistula
  • Vascular
    Malformations
  • Carotid
    Disease / Artery Stroke
  • Treating
    Leg Ulcers
  • Treatment of
    Swollen Legs
  • Vascular
    Trauma
  • Portal-Mesenteric
    Vascular Diseases
  • Aortic
    Aneurysm
  • Diabetic Foot
    Ulcer
  • Deep Vein
    Thrombosis
  • Mesenteric
    Ischaemia
  • Cervical Rib & Thoracic
    Outlet Syndrome

Understanding Lower Limb Arterial Diseases (PAD)

PAD occurs when arteries supplying the legs narrow, leading to pain, discoloration, and poor circulation. We offer angioplasty, stenting, atherectomy, and advanced limb-saving treatments.

Endovascular Treatments

Minimally invasive vascular procedures such as angioplasty, stenting, embolization, and thrombolysis for fast, safe, and effective disease management without open surgery.

Dialysis Access Procedures

Expert creation and maintenance of AV fistulas, grafts, and catheter-based access for chronic kidney disease patients to ensure long-term, reliable dialysis access.

Vascular Malformations

Treatment of congenital and acquired vascular malformations, including AVMs, venous malformations, lymphatic malformations, and capillary malformations.

Carotid Disease

Blockages in the carotid arteries can lead to stroke. We provide carotid endarterectomy and carotid stenting to restore blood flow safely.

Treating Leg Ulcers

Venous, arterial, and diabetic ulcers require specialized vascular care. We provide advanced wound healing and circulation-restoring treatments.

Treatment of Swollen Legs

Leg swelling can be caused by venous insufficiency, lymphedema, or DVT. We offer accurate diagnosis and targeted vascular treatment to relieve swelling.

Vascular Trauma

Emergency treatment for arterial and venous injuries caused by accidents, fractures, and penetrating trauma to restore circulation quickly and safely.

Portal Mesenteric Vascular Diseases

Conditions affecting the portal and mesenteric veins can lead to severe abdominal complications. We offer expert diagnosis and minimally invasive treatments.

Aortic Aneurysm

Aortic aneurysms occur when the aorta weakens and bulges, posing a risk of rupture. We offer advanced screening and endovascular repair options.

Diabetic Foot Ulcer

Diabetic foot ulcers require early evaluation to prevent infections and amputations. We provide limb salvage treatments and vascular restoration.

Deep Vein Thrombosis (DVT)

DVT is caused by clot formation in deep veins, often the legs. Our treatments include thrombolysis, clot removal, and vein preservation procedures.

Cervical Rib & Thoracic Outlet Syndrome

TOS occurs when nerves or blood vessels are compressed near the neck and shoulder. We offer surgical and minimally invasive decompression solutions.

Mesenteric Ischaemia

Reduced blood flow to the intestines can be life-threatening. We specialize in early diagnosis and endovascular revascularization.

AV Fistula Surgeon in Banashankari – Expert Dialysis Access Care

Patients with chronic kidney disease who require long-term dialysis need a safe, reliable, and durable vascular access for effective treatment. An AV Fistula Surgeon in Banashankari specialises in creating and maintaining arteriovenous fistulas that ensure smooth blood flow during dialysis sessions. A well-functioning AV fistula significantly improves dialysis efficiency and reduces complications.

An arteriovenous (AV) fistula is a surgically created connection between an artery and a vein, usually in the arm. This connection allows higher blood flow, making it ideal for repeated dialysis sessions. Compared to catheters and grafts, AV fistulas are considered the gold standard for dialysis access due to their longevity and lower infection risk.

What Is an AV Fistula and Why Is It Important?

An AV fistula is created by directly joining a healthy artery to a nearby vein. Over time, the vein becomes stronger and larger, allowing it to handle repeated needle insertions during dialysis. This maturation process is crucial for long-term dialysis success.

Choosing an experienced AV Fistula Surgeon in Banashankari ensures proper vessel selection, precise surgical technique, and careful planning, all of which contribute to better fistula maturation and long-term usability.

Conditions Requiring AV Fistula Creation

AV fistula surgery is recommended for patients who:

  • Have end-stage renal disease requiring long-term dialysis
  • Need a permanent and reliable dialysis access
  • Have recurrent infections or blockages with dialysis catheters
  • Require revision of a failed AV fistula or graft
  • Need evaluation for dialysis access planning

Benefits of AV Fistula Surgery

Getting treated by a skilled AV Fistula Surgeon in Banashankari offers several long-term benefits:

  • Lower risk of infection compared to dialysis catheters
  • Better blood flow for efficient dialysis
  • Longer lifespan of the dialysis access
  • Reduced hospital visits due to fewer complications
  • Improved overall quality of life

Pre-Surgical Evaluation and Planning

Before AV fistula creation, detailed evaluation of blood vessels is essential. This includes vascular colour Doppler studies to assess artery and vein size, flow, and suitability. Proper planning ensures the best possible site for fistula creation and reduces the risk of early failure.

Each patient receives a personalised treatment plan based on medical history, vein quality, dialysis needs, and lifestyle factors. The focus is always on creating a durable and comfortable access that supports long-term dialysis.

Post-Surgery Care and Fistula Maintenance

After surgery, patients are guided on fistula care, exercises to promote vein maturation, and warning signs of complications such as swelling or reduced blood flow. Regular follow-up helps ensure that the fistula remains healthy and functional.

Early intervention for issues like narrowing or clot formation can save the fistula and prevent the need for new access creation. Consulting an experienced AV Fistula Surgeon in Banashankari ensures ongoing support and expert management.

With expert surgical care, advanced diagnostics, and patient-focused follow-up, AV fistula surgery plays a vital role in improving dialysis outcomes and long-term kidney care.

FAQs

AV Fistula Surgery – FAQs
Common Questions About Dialysis Access

What is an AV fistula used for?

An AV fistula is used to provide reliable and long-lasting vascular access for patients undergoing regular dialysis due to kidney failure.

Why is an AV fistula better than a dialysis catheter?

AV fistulas have a lower risk of infection, better blood flow, and last longer than dialysis catheters, making them the preferred option for long-term dialysis.

How long does an AV fistula take to mature?

Most AV fistulas take about 6 to 12 weeks to mature, depending on vein quality, blood flow, and patient health.

Are there risks associated with AV fistula surgery?

AV fistula surgery is generally safe, but possible risks include infection, clotting, or delayed maturation. Regular follow-up helps detect and manage issues early.

When should I consult a vascular surgeon for AV fistula creation?

You should consult a vascular surgeon when your doctor advises long-term dialysis, or if you experience problems with an existing dialysis access.

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