Who requires this procedure ?

This procedure is indicated for kidney patients who have a AV Fistula for dialysis, wich has stopped functioning.

What is the underlying problem?

The underlying disease is a block/ narrowing of the fistula, thereby reducing the blood flow through the dialysis.

What are the consequences of postponing / worst complication if left untreated?

Unless treated at the right time the patients may eventually land up in complete kidney failure and eventually death.

How is it diagnosed?

Doppler Ultrasound.

What are the steps of procedure?

The block is cleared using wire and catheters, lumen is opened using a balloon and sometimes stents are used to preserve the lumen,.

Why endovascular approach?

As most of the patients are unfit for the surgical options and interventional radiology offers solution through a 3mm hole under local anaesthesia as a day care procedure.