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An AV (arteriovenous) fistula is a surgically created connection between an artery and a vein, commonly used in vascular surgery for patients undergoing dialysis. This procedure facilitates easier and more efficient blood flow for hemodialysis treatments, enhancing the overall patient experience. Creating an AV fistula involves connecting the two vessels to allow the vein to become larger and stronger, making it suitable for repeated access. Vascular surgeons specialize in these procedures, ensuring optimal outcomes and minimizing complications. With proper care and maintenance, an AV fistula can provide reliable vascular access, significantly improving the quality of life for individuals with kidney disease.