This is a patient suffering from renal failure that is put on regular hemodialysis. In this picture we can see multiple aneurysms of AV fistulas. Hemodialysis fistulas are surgically created communications between the native artery and vein in an extremity. Direct communications are called native arteriovenous fistulas (AVFs). Polytetrafluoroethylene (PTFE) and other materials (Dacron, polyurethane, bovine vessels, saphenous veins) are used or have been used as a communication medium between the artery and the vein and are termed prosthetic hemodialysis access arteriovenous grafts (AVGs). The access that is created is routinely used for hemodialysis 2-5 times per week. Follow us @medshots for more