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Arteriovenous access banding revisited

Gabriela Teixeira1,2, Paulo Almeida1,2, Clemente N Sousa1,3

  • 1Vascular Access Center (Grupo Estudos Vasculares - GEV), Porto - Portugal.

The Journal of Vascular Access
|April 22, 2017
PubMed

Insights

Arteriovenous access banding is effective for high flow access and haemodialysis access-induced distal ischaemia. Ultrasound guidance is key to preventing complications and ensuring success in vascular access procedures.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Interventional Radiology

Background:

  • High flow access (HFA) and haemodialysis access-induced distal ischaemia (HAIDI) are common complications of arteriovenous (AV) access.
  • AV access banding is a potential treatment option for these conditions.

Purpose of the Study:

  • To validate the effectiveness and safety of AV access banding for HFA and HAIDI.
  • To assess the incidence of complications, particularly thrombosis, associated with the procedure.

Main Methods:

  • Retrospective study of 119 patients undergoing AV access banding for HFA or HAIDI.
  • Analysis of patient demographics, comorbidities, symptoms, and intraoperative ultrasound findings.
  • Definition and tracking of technical failure and complications like thrombosis, rupture, and aneurysm.

Main Results:

  • Primary clinical success was achieved in 71.4% of patients, with a secondary success rate of 84.9%.
  • The HAIDI group was older and had a higher prevalence of diabetes.
  • Older age and intraoperative ultrasound control were significantly associated with primary success.

Conclusions:

  • AV access banding is an effective procedure for both HFA and HAIDI.
  • The study did not find a high incidence of thrombosis, contrary to previous reports.
  • Intraoperative ultrasound control is crucial for preventing technical failure and improving outcomes.
Abstract

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