Abstract:
:Creation of arteriovenous fistula (AVF) may lead to left ventricle hypertrophy and predispose for development or worsening of heart failure. It was postulated to reduce access blood flow if exceeded 2 L/min or cardiac index was higher than 3.0 L/min/m(2). Numbers of techniques decreasing flow were described. The major disadvantage was the complexity of procedure and necessity of intraoperative flow measurement needed to establish desired flow. The technique of dilator-assisted banding with no endovascular catheterization is presented. After blunt dissection non absorbable thread was placed around vessel and tied over the dilator. Then the dilator was gently removed and blood flow was confirmed by palpation. We performed 12 banding procedures. Mean brachial blood flows were 3733.2 ± 826.2 mL/min preoperatively and 1461.2 ± 337.7 mL/min after surgery. Mean flow reduction was 2272.2 ± 726.9 mL/min. The external dilator-assisted banding is a feasible method for vascular access flow reduction without necessity of endovascular catheterization.
journal_name
Ren Failjournal_title
Renal failureauthors
Letachowicz K,Kusztal M,Gołębiowski T,Letachowicz W,Weyde W,Klinger Mdoi
10.1080/0886022X.2016.1184936subject
Has Abstractpub_date
2016-08-01 00:00:00pages
1067-70issue
7eissn
0886-022Xissn
1525-6049journal_volume
38pub_type
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