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Vascular access if basically a medium through which dialysis is made possible. In dialysis blood is diverted from the vascular access and taken to the dialysis machine where it is cleared of the toxins and then again taken back to the patient. For dialysis to function adequately there should be a good flow rate of blood from the vascular access to the dialysis machine. For achieving a good volume of blood reaching at the dialysis machine a vascular access is created in a CKD patient whom we anticipate that the patient will require dialysis in the near future. Vascular access for dialysis is of two types: Temporary – in the form of catheters (hollow tubes) in the neck or legs Permanent – in the form of Arteria venous (AV) Fistula or AV Grafts AV Fistula is the best type of vascular access in suitable patients.