Dialysis Fistula Problems: Don’t Wait Until It Blocks!

With Dr Andrew Choong, vascular and endovascular surgeon in Singapore

Published · 1 min 18 sec · Watch on YouTube

About this video

A fistula or graft is essential to haemodialysis, so changes in needling, flow, machine pressures, bleeding or arm swelling deserve attention. Dr Andrew Choong explains how narrowing, clotting and other access problems may be assessed before complete failure. He describes ultrasound, fistulography and selected treatments, including angioplasty or surgical revision, while emphasising early review with the dialysis and vascular teams. This video introduces the assessment process rather than prescribing one procedure for every access problem.

Related patient information

If the usual fistula vibration disappears or access suddenly stops working, contact your dialysis team immediately. Heavy or uncontrolled bleeding, collapse or severe breathlessness requires emergency help: call 995 in Singapore.

For an individual assessment or second opinion, contact Andrew Choong Vascular Surgery at Mount Elizabeth Novena Specialist Centre, #09-22, 38 Irrawaddy Road, Singapore 329563.

This video provides general information and does not replace individual medical advice.

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