Fistuloplasty

OVERVIEW

For patients undergoing dialysis, a healthy arteriovenous (AV) fistula is a vital lifeline. Over time, fistulas can develop narrowing or blockages that reduce blood flow, leading to difficult dialysis sessions, pain, swelling, or inadequate treatment. Fistuloplasty is a minimally invasive interventional procedure designed to restore proper blood flow and prolong the life of the dialysis fistula.
Under the experienced care of Dr. Anish Kumar Saha, Nephrologist and Transplant Physician in Siliguri, Fistuloplasty combines advanced imaging guidance with precise technique and compassionate care. The procedure works by gently widening narrowed segments of the fistula, allowing blood to flow freely again and improving dialysis efficiency.
Fistuloplasty is commonly advised for patients who experience repeated dialysis machine alarms, reduced blood flow during dialysis, prolonged bleeding after needle removal, arm swelling, or difficulty in needle insertion. Early intervention helps prevent complete fistula failure and reduces the need for temporary dialysis catheters or surgical revision.
Unlike open surgery, Fistuloplasty is performed through a very small access point, resulting in minimal discomfort, faster recovery, and quick return to routine dialysis. Preserving the patient’s own fistula remains the safest and most effective approach to long-term dialysis care.

PROCEDURE

Fistuloplasty is a carefully planned, image-guided procedure tailored to each patient’s fistula anatomy and dialysis requirements.

1. Evaluation and Planning : Before the procedure, a detailed clinical assessment is performed, including physical examination and imaging such as Doppler ultrasound or angiography. This helps identify the exact location and severity of narrowing. The procedure plan is explained clearly so patients and caregivers understand every step.
2. Access and Imaging : On the day of the procedure, the fistula is accessed under strict sterile conditions. Contrast imaging is used to visualize blood flow and pinpoint narrowed or blocked segments accurately.
3. Balloon Angioplasty : A thin balloon catheter is guided to the narrowed portion of the fistula. The balloon is gently inflated to widen the vessel and restore normal blood flow. This step is done with precision to ensure safety and long-term success.
4. Monitoring During the Procedure  Vital signs and fistula flow are continuously monitored throughout the procedure. Fistuloplasty is usually performed under local anesthesia and is well tolerated by most patients.
5. Post-Procedure Care : After completion, the patient is observed for a short period. Clear instructions are given regarding fistula care. In most cases, dialysis can be resumed soon with improved flow and comfort.

BENEFITS

• Restores Effective Dialysis : Improves blood flow through the fistula, allowing smoother and more efficient dialysis sessions.
• Extends Fistula Lifespan : Prevents early fistula failure and reduces the need for surgical revision or catheter placement.
• Minimally Invasive with Quick Recovery : No major surgery, minimal pain, and faster return to regular dialysis routines.
• Reduces Dialysis-Related Complications : Helps resolve swelling, prolonged bleeding, poor flow, and repeated dialysis machine alarms.
• Personalized, Patient-Centric Care : Each procedure is customized based on the patient’s fistula condition, dialysis needs, and overall health.
• Safe and Closely Monitored : Performed in a controlled, sterile environment with continuous monitoring by an experienced nephrology team.
• Improves Quality of Life : A well-functioning fistula means fewer treatment disruptions, less anxiety, and greater confidence during dialysis.

If you are experiencing difficulty with your dialysis fistula, timely intervention can prevent serious complications.

Consult Dr. Anish Kumar Saha, Nephrologist in Siliguri, to restore fistula function, improve dialysis comfort, and ensure long-term access for effective kidney care.