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Side-Branch Ligation in AV Fistula: Improving Dialysis Flow


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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