Gan Chye Chung

23/11/2025

16th Malaysian Society of Diagnostic and Interventional Nephrology (MSDIN) Annual Scientific Meeting.

Ultrasound guided fistuloplasty is the way to go. No radiation, no contrast nephropathy risk, daycare non-invasive surgery.

Eddie Sem (Enable your tag pls 😂)

23/11/2025

Done! My 17th and last speaking and facilitation for this year. I think my jaw muscles got thicker by now. Looking forward for coming years!

23/11/2025

18/11/2025

Thank you for the chance for us to share our experience. 🙏🏻

16/11/2025

INFO PESAKIT: Tidak semua kes memerlukan fistuloplasty.

[MY]

Beliau mempunyai 2 kali PTA pada fistula dan satu kali pembedahan thrombec+PTA

Datang ke UMSC untuk berunding mengenai tapak V sukar di kanulasi. Ciri-ciri aliran fistula beliau menarik bagi AVF BC berusia 5 tahun.

Stenosis aliran keluar vena cephalic lengan dan trombosis separa dengan aliran retrograde (terbalik) dari sambungan melalui MCV > vena cephalic lengan bawah > vena basillic lengan bawah > basillic lengan atas > Axillary.

Saya menandakan kawasan kanulasi baharu dengan jarum V retrogred (hadap bawah) yang dicadangkan di tapak V baharu dan jarum antegred (hadap atas) A di tapak A lama.

Aliran adalah baik, pesakit gembira, kakitangan dialisis gembira dan saya juga gembira.

Dan kami menemui panjang keseluruhan segmen kanulasi yang baharu! Ini adalah jenis kegembiraan saya untuk memberikan penyelesaian! Rahmat yang terselindung.








[CH]

并非所有病例都需要动静脉瘘成形术。

她接受了两次上肢头静脉流出道经皮腔内血管成形术（PTA）和一次开放式血栓清除联合PTA。

她来UMSC咨询静脉穿刺点插管困难的问题。这条5年历史的肱动脉动静脉瘘（BC AVF）的血流特征很有意思。

上肢头静脉流出道狭窄，部分血栓形成，血流逆向流经颈静脉（JA）经大脑中静脉（MCV）>前臂头静脉>前臂贵要静脉>上肢贵要静脉>腋静脉。

在新的静脉穿刺点标记出新的插管区域，并预留逆向穿刺针的位置，在原腋静脉穿刺点标记出顺向穿刺针的位置。

血流良好，患者满意，医护人员也满意，我也很高兴。

我们还发现了一段全新的插管段！能够提供解决方案正是我最大的快乐！真是塞翁失马，焉知非福。

[EN]
Not all cases need fistuloplasty.

She had 2 rounds of arm CV outflow PTA and one round of open thrombec+PTA

Came to UMSC for consult on V site difficult cannulation. Interesting flow characteristics of the 5 years old BC AVF.

Arm cephalic vein outflow stenosis and partial thrombosis with retrograde flow from JA via MCV > forearm CV > forearm basillic > arm basillic V > Axillary.

Mark new cannulation area with proposed retrograde V needle at new V site and antegrade A needle at old A site.

Flow was good, patient happy, staffs happy and I am happy.

And we discovered whole new length of cannulation segments! This is my kind of joy to provide solutions! Blessings in disguise.








*permission granted from patient*

13/11/2025

Looks like a fire phoenix flying across. Completion within 22 mins (exclude 9 mins of total serial tamponade for dissection).

12/11/2025

Asymptomatic CKD 5 near ESKD with 6 month old left BC AVF stenosis but doesn’t want dialysis yet. Fistula pulsatile. A contrasted fluoroscopy fistuloplasty might risk to ESKD. What can we do?

A) Hand grip exercise
B.)Observe
C) Fluoroscopy guided fistuloplasty
D) Ultrasound guided fistuloplasty

11/11/2025

Thank you UMSC for your kind invitation. My honour to be able to give talk on Dialysis Access Complications and Management.

Second last talk of year 2025.

11/11/2025

Thanks for being a top engager and making it on to my weekly engagement list! 🎉

Nikita Mukhriz, Ainuddin Azila, Simon Gan, James Loh, Siti Fatimah Khalid

09/11/2025

The day is tomorrow!! Please join us!