Abstract

Introduction

Arteriovenous fistulas (AVF) are the preferred method of vascular access for chronic haemodialysis. However, excess shunting through the AVF can result in dialysis-access steal syndrome (DASS) or high-output cardiac failure. Percutaneous AVF banding is a minimally-invasive technique for treating DASS with good short-intermediate term results.

Materials and methods

We review a case series of percutaneous AVF banding procedures for DASS and high-output cardiac failure to illustrate the technique and limitations of this technique.

Results

Two representative cases from our local experience were selected to illustrate the technique in a stepwise manner. Both cases were performed for DASS, with good technical success. However, clinical success was limited in one case due to underlying arterial insufficiency. The technique, selection of appropriate banding diameter for flow reduction, limitations and complications of alternative surgical techniques are discussed.

Conclusions

Percutaneous AVF banding is a relatively straightforward and effective minimally-invasive technique for treatment of DASS supported by short-intermediate term data.

Details

Title
Percutaneous dialysis arteriovenous fistula banding for flow reduction – a case series
Author
Kok Hong Kuan 1 ; Maingard Julian 2   VIAFID ORCID Logo  ; Asadi Hamed 2 ; Ryan, Elizabeth 1 ; Sheehan, Mark 1 ; Given, Mark F 1 ; Lee, Michael J 1 

 Beaumont Hospital, Department of Interventional Radiology, Dublin, Ireland (GRID:grid.414315.6) (ISNI:0000 0004 0617 6058); Royal College of Surgeons in Ireland, Department of Radiology, Dublin, Ireland (GRID:grid.4912.e) (ISNI:0000 0004 0488 7120) 
 Austin Hospital, Department of Interventional Radiology, Melbourne, Australia (GRID:grid.414094.c) (ISNI:0000 0001 0162 7225); Austin Hospital, Interventional Neuroradiology Service, Melbourne, Australia (GRID:grid.414094.c) (ISNI:0000 0001 0162 7225); Deakin University, School of Medicine, Faculty of Health, Geelong, Australia (GRID:grid.1021.2) (ISNI:0000 0001 0526 7079) 
Publication year
2018
Publication date
Dec 2018
Publisher
Springer Nature B.V.
e-ISSN
25208934
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2429905543
Copyright
© The Author(s) 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.