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Chirurgia 2013 April;26(2):97-100

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Hemodialysis access induced distal ischemia treatment with pressure monitorization assisted banding

Yuksel V., Huseyin S., Ozdemir A. C., Canbaz S., Ege T.

Cardiovascular Surgery Department, Trakya University, Edirne, Turkey


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Aim: Symptomatic steal syndrome is a rare complication of native arteriovenous fistulas. We used the banding technique under brachial and radial artery pressure control.
Methods: We included 21 patients operated between January 2008 and January 2011 with banding by a polytetrafluoroethylene graft combined with pressure measurement from distal arterial structures. Patients were followed up in our outpatient clinic at 1 month, 3 months and 6 months after surgery.
Results: Eight were male and 13 were female, mean age was 62 (21-75). At first month controls, 4 (19%) patients complained pain during dialysis. They were re-operated for re-banding. Of these 4 patients reoperated, complaints releived in 3 patients and thrombosis developed in 1 patient postoperatively. Patency rate was 90.5% (19/21) and symptomatic relief was 76.2% (16/21).
Conclusion: We achieved satisfactory results with pressure monitorization assisted banding in hemodialysis access induced distal ischemia patients with no significant stenosis in distal arterial structures.

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