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 Jayanagar – Expert Dialysis Access Care

Creating a reliable dialysis access is a critical step for patients with chronic kidney disease. An arteriovenous (AV) fistula is considered the safest and most durable form of vascular access for long-term dialysis. Consulting an experienced AV Fistula Surgeon in in jayanagar ensures precise surgical technique, better blood flow, and reduced risk of complications.

An AV fistula is created by connecting an artery directly to a vein, usually in the forearm or upper arm. This connection allows the vein to enlarge and strengthen over time, making it suitable for repeated dialysis sessions. When performed by a skilled vascular specialist, the procedure offers long-term durability and fewer infections compared to other dialysis access options.

Why AV Fistula Is the Preferred Dialysis Access

Patients undergoing regular hemodialysis require dependable vascular access. An AV fistula provides strong blood flow, lower clotting risk, and improved longevity compared to dialysis catheters or grafts. Choosing a qualified AV Fistula Surgeon in in jayanagar significantly improves the success rate of the procedure.

Unlike temporary catheters, fistulas are created using the patient’s own blood vessels, which reduces infection risk and enhances long-term performance. Although fistulas take a few weeks to mature, they are widely regarded as the gold standard for dialysis access worldwide.

Who Needs AV Fistula Surgery?

AV fistula surgery is recommended for patients with:

  • Chronic kidney disease requiring long-term dialysis
  • End-stage renal disease
  • Frequent dialysis catheter infections
  • Poor dialysis blood flow from existing access
  • Failed grafts or blocked fistulas

Early planning of dialysis access improves outcomes. Consulting an experienced AV Fistula Surgeon in in jayanagar before starting dialysis allows adequate time for the fistula to mature and function effectively.

The Procedure and Recovery

AV fistula creation is usually performed under local or regional anesthesia. The procedure typically takes one to two hours. Using microsurgical techniques, the artery and vein are carefully joined to create a strong connection. Most patients can return home the same day.

After surgery, the fistula requires monitoring to ensure proper maturation. Patients are guided on hand exercises to strengthen the vein and improve blood flow. Regular follow-ups help detect early issues such as narrowing or clot formation.

Benefits of Choosing a Skilled Vascular Specialist

The success of an AV fistula depends greatly on surgical precision and preoperative vessel assessment. Advanced vascular imaging such as Doppler ultrasound helps identify the best vessels for fistula creation. An experienced AV Fistula Surgeon in in jayanagar ensures personalized planning, reducing complications such as fistula failure, swelling, or poor maturation.

  • High long-term success rates
  • Lower infection risk
  • Better dialysis efficiency
  • Reduced need for repeat procedures
  • Improved overall quality of life

Importance of Timely Intervention

Delaying dialysis access creation can lead to emergency catheter placement, which carries higher risks of infection and complications. Early consultation ensures smoother transition to dialysis therapy and improved patient safety.

With proper surgical expertise, structured follow-up, and patient education, AV fistula surgery offers long-lasting and dependable vascular access. If you or your loved one requires dialysis access planning, seeking timely expert care can make a significant difference in treatment outcomes.

FAQs

AV Fistula Surgery – FAQs
Common Questions About Dialysis Access

What is an AV fistula and why is it important?

An AV fistula is a surgical connection between an artery and a vein, created for hemodialysis. It provides strong blood flow, lower infection risk, and long-term durability compared to catheters.

How long does an AV fistula last?

A properly created and maintained AV fistula can last many years. Regular monitoring and timely management of narrowing or clotting improve its lifespan.

Is AV fistula surgery painful?

The procedure is performed under anesthesia, so patients do not feel pain during surgery. Mild discomfort after surgery is manageable with medications.

How long does it take for a fistula to mature?

Most AV fistulas take 4 to 8 weeks to mature before they can be used for dialysis. Your surgeon will monitor progress during follow-up visits.

When should I consult a vascular surgeon for dialysis access?

Patients with advanced kidney disease should consult a vascular specialist early to plan fistula creation before dialysis becomes urgent.

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