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Side-Branch Ligation in AV Fistula: Improving Dialysis Flow

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Ligation of a side branch reduces flow diversion and improves effective fistula performance for dialysis.

What It Costs

• Surgeon fee benchmark: SGD 1,100 – 2,500
• Anaesthetist fee benchmark: Not available

What’s Typically Covered

• Dialysis access optimisation surgery
• Usually day surgery

Insurance Tip

Make sure it’s linked to dialysis adequacy/access dysfunction.

Conclusion

A small surgical correction can preserve access. Insurance should treat it as functional, not elective.

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