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 Surgery in BTM Layout – Expert Dialysis Access Care

Patients with chronic kidney disease who require long-term dialysis need a reliable and safe vascular access to ensure effective treatment. An arteriovenous fistula is considered the gold standard for dialysis access due to its durability, lower infection risk, and better blood flow. Consulting an experienced AV Fistula Surgeon in Btm Layout is essential to achieve successful fistula creation and long-term dialysis outcomes.

AV fistula surgery involves connecting an artery directly to a vein, usually in the arm, allowing the vein to enlarge and strengthen over time. This access point supports repeated dialysis sessions safely and efficiently while reducing complications commonly seen with catheters or grafts.

What Is an AV Fistula?

An arteriovenous fistula is a surgically created connection between an artery and a vein that increases blood flow and strengthens the vein for dialysis use. It typically matures over a few weeks, after which it can be safely used for hemodialysis. Compared to other dialysis access methods, AV fistulas last longer and have fewer complications.

Careful planning, vessel assessment, and surgical precision are crucial for successful fistula creation. A skilled AV Fistula Surgeon in Btm Layout evaluates vein size, arterial flow, and patient health before recommending the most suitable access site.

Who Needs AV Fistula Surgery?

AV fistula surgery is recommended for patients with advanced kidney disease who are preparing for long-term dialysis. It is especially suitable for individuals who want a dependable and infection-resistant dialysis access.

  • Patients with chronic kidney disease approaching dialysis
  • Individuals currently using temporary dialysis catheters
  • Patients experiencing repeated access failures
  • Those seeking a long-term dialysis access solution

Benefits of AV Fistula Surgery

Choosing AV fistula creation under expert care offers several important benefits for dialysis patients:

  • Lower risk of infection compared to catheters
  • Improved blood flow for effective dialysis
  • Longer lifespan than synthetic grafts
  • Reduced chances of clotting and access failure
  • Better overall dialysis efficiency

Evaluation and Surgical Planning

Before surgery, patients undergo a detailed vascular evaluation using colour Doppler ultrasound to assess artery and vein quality. This ensures the fistula is created at the most suitable location for long-term success.

A personalised treatment approach by a AV Fistula Surgeon in Btm Layout helps reduce complications and supports smooth fistula maturation, allowing dialysis to begin on schedule.

Importance of Early AV Fistula Creation

Early fistula planning gives the access adequate time to mature and reduces dependence on temporary catheters. Delaying fistula creation can increase infection risk and compromise dialysis quality.

With expert surgical techniques and proper follow-up care, AV fistula surgery significantly improves dialysis safety and long-term outcomes. Choosing a trusted AV Fistula Surgeon in Btm Layout ensures reliable access and better quality of life for patients undergoing dialysis.

FAQs

AV Fistula Surgery – FAQs
Common Questions Answered

What is an AV fistula and why is it needed for dialysis?

An AV fistula is a surgical connection between an artery and a vein that provides strong, reliable blood flow for hemodialysis. It is preferred because it lasts longer and has fewer complications.

How long does an AV fistula take to mature?

Most AV fistulas mature within 4 to 8 weeks. During this time, the vein becomes strong enough to handle repeated dialysis needle insertions.

Is AV fistula surgery safe?

Yes, AV fistula surgery is a safe and routine procedure when performed by an experienced vascular surgeon, with minimal risks and high success rates.

Can an AV fistula fail?

Although AV fistulas are durable, issues such as clotting or narrowing can occur. Regular monitoring and timely intervention help maintain long-term function.

When should I consult an AV fistula surgeon?

You should consult a vascular surgeon early if you have advanced kidney disease or are planning dialysis to allow enough time for fistula maturation.

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