T-banding: a technique for flow reduction of a hyperfunctioning arteriovenous fistula.
A common procedure for hyperfunctioning arteriovenous fistulas is banding, baring the potential for complications such as pre- and poststenotic dilatations and recurrence of high flow caused by slipping of the band itself. We describe a new technique that ensures proper fixation of the graft to prevent anastomotic aneurysms and enlarge the length of stenosis of the shunt vein in order to amplify the effect of flow reduction. This technique was used in 22 patients, with a mean flow reduction of about 50%. The procedure was effective and safe at 1 to 3 months follow-up.
Department of General, Thoracic- and Visceral Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. cschneid@uke.uni-hamburg.de
Claus G
CG
Schneider
Karim A
KA
Gawad
Tim
T
Strate
Benjamin
B
Pfalzer
Jakob R
JR
Izbicki
D000368:Aged; D000369:Aged, 80 and over; D001132:Arm / Q000098:blood supply*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001783:Blood Flow Velocity; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D012039:Regional Blood Flow; D006435:Renal Dialysis / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014680:Veins / Q000601:surgery
D011138:Polytetrafluoroethylene