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.
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
Group-Based Learning
Patients, caregivers, and technicians learn together in small, interactive groups
Surgeon-Led Training
Workshops are led by experienced AV access surgeons.
Hands-On Stethoscope
Participants practice listening to their own fistula under guidance.
Caregiver & Technician
Support systems are trained alongside patients for continuity of care.
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
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.
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
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.