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5h ago

PGIMER Rolls Out ₹5,000 Day-Care Banding for High-Flow Dialysis Fistulae

The minimally invasive technique avoids angiography, cutting costs versus traditional care.

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While undergoing treatment, the dialysis patients often face the complication of enlarged vein caused by excessive blood flow from the artery, a condition known as high-flow arteriovenous fistula (AVF). (HT Photo for representation)
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Overview

  • PGIMER says the controlled banding reduces excessive fistula flow to ease cardiac strain and maintain effective dialysis.
  • Officials price the procedure at about ₹5,000 compared with roughly ₹50,000 for angiography-based interventions.
  • The team reports about 40 procedures over three years delivered as an outpatient service with same-day discharge.
  • Clinicians say most cases need no anaesthesia or advanced imaging, avoiding catheterisation labs and hospital stays.
  • The program, led by Dr Manish Rathi with surgical support from Dr Ajay Salwania, uses a method reported as developed in the US that has received a Best Paper Award and is slated for wider availability.