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A fistulagram is a procedure that employs use of a live X-Ray. After inserting a small catheter into the fistula, contrast dye is injected under live X-Ray. This allows Dr. Kahn to view the blood flow and check for narrowings or blockages in the fistula or graft. When narrowings or blockages are identified, they are fixed using a balloon and occasionally a stent when additional support is needed. During this procedure, you will lie on a bed with your arm extended to the side. Our nurse will connect you to a monitor to assess your heart rate, blood pressure, and oxygenation during the procedure. A small IV is placed in the opposite arm to allow sedative drugs to be administered throughout the procedure. You will be covered with a sterile drape, with the fistula or graft left exposed for access. A local anesthetic is administered at the planned site(s) of access. Dr. Kahn inserts one or two small catheters into the fistula or graft at the beginning of the procedure. Contrast dye or carbon dioxide (CO2) gas is injected, which allows blood flow within the fistula or graft to be visualized under X-Ray. Areas that are problematic are then readily identified by Dr. Kahn.