A Patient-Led Program to Detect AV Fistula  Narrowing Before It Clots

AVF Care Workshop is a structured, surgeon-led group training program that teaches dialysis patients and caregivers to detect early AV fistula stenosis using a simple stethoscope-based self-examination protocol. Led by Dr. Himanshu Verma | Supported by AV access surgeons, nephrologists & dialysis teams.

Why AV Fistulas Fail Before Anyone Notices

Late Detection

Lost Window

Downstream Damage

Patients often present only after fistula thrombosis.

Once clotted, salvage options reduce rapidly

Catheters, pain, cost, repeat surgeries

Most AV fistulas are not lost suddenly — they are lost silently.

The Missing Link in AVF Care: The Patient

Ultrasound surveillance is effective, but not always accessible or timely.

Clinical examination skills vary across centers and providers.

Doctors see the fistula periodically — patients see it every day.

Yet patients are rarely taught how to assess their own access in a structured, reliable way.

When patients learn to detect early narrowing themselves, AV fistula thrombosis can often
be prevented.

What is the AVF Care Workshop

The 4-Step AVF Self Examination Protocol

Know Your Fistula Type
Understand whether your access is radiocephalic, brachiocephalic, or graft-based.

Learn Stethoscope Placement
Correct positioning to hear the true access sound.

Recognize Sound Patterns
Identify what is normal and what is changing.

Act Early
Know exactly when and whom to contact

See the Self-Examination Protocol

Interrupted/No Sound--> Warning

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Continuos --> Safe

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WHY GROUP TRAINING WORKS?

Healing Happens in Teams, Not Silos

Key Benefits
Peer motivation improves adherence
● Reduced fear after complications through shared stories
● Cross-learning between patients and technicians
● Better acceptance of repeat interventions
● Shift from blame to understanding and prevention

Validated in Real World

Workshop
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Cities
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Regular Self Auscultation
0 %
Patient Trained
0 +
Technician Trained
0 +
Fistula Salvaged After Early Detection
0 /31

Follow-up duration ranged from 2 to 22 months

Why AV Fistulas Fail Before Anyone Notices

The AVF Care Workshop, created by Dr. Himanshu Verma, Vascular and Endovascular Surgeon and Director of Vascular Surgery at Fortis Hospital Gurgaon, was established to address the crucial need for comprehensive AV fistula management. While creation is vital, ongoing care is essential to prevent complications like narrowing and blockage. Our workshop offers holistic support, including self-examination techniques, dietary guidance, and exercise routines, empowering patients to manage their health effectively alongside their ongoing nephrology treatment.

Vascular & Endovascular Surgeon

Dr. Himanshu Verma

Dr. Himanshu Verma is a dedicated Vascular and Endovascular Surgeon with a profound passion for AV fistula surgery. His expertise drives the AVF Care Workshop, ensuring patients receive comprehensive and compassionate care

Gallery

Every Picture Tells a Story of Strength & Survival

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Our AV Fistula Care Workshop is about more than survival—it’s about living well. We teach the importance of exercise, diet, and self-care for AV fistulas, so you can stay healthy and positive. Plus, you’ll connect with others who truly understand and support your journey.

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