TY - JOUR
T1 - The MILLER banding procedure as a treatment alternative for dialysis access steal syndrome
T2 - A single institutional experience
AU - Shukla, Pratik A.
AU - Kolber, Marcin K.
AU - Nwoke, Franklin
AU - Kumar, Abhishek
AU - Shams, Joseph N.
AU - Silberzweig, James E.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Objective: To describe a single institutional experience with minimally invasive limited ligation endoluminal-assisted revision (MILLER) for treatment of dialysis access steal syndrome (DASS). Materials and Methods: Twenty patients were retrospectively identified that underwent 30 MILLER band procedures for DASS at our institution from March 2010 to December 2014. Technical success was defined by successful creation of MILLER band with preservation of flow for hemodialysis. Clinical success was defined as complete resolution of signs and symptoms with preservation of dialysis access in a 1-month postprocedural period. Primary MILLER band patency, postintervention-assisted primary access patency, and postprocedure secondary access patency are reported. Results: Technical success was achieved in all patients. Clinical success was achieved in 75% of patients after one banding procedure and in 95% of patients after two banding procedures. One patient experienced access thrombosis following the initial banding procedure which was subsequently treated and did not lead to loss of access. MILLER band patency was 83% at 1 month and 77% at 6 months. Postintervention-assisted primary patency was 95%, 93%, and 92% at 3 months, 6 months, and 1 year, respectively. Postintervention secondary patency was 86%, 68%, and 59% at 3 months, 6 months, and 1 year, respectively. Conclusions: MILLER banding offers a less-invasive alternative to surgical therapy that appears to be safe and permits preservation of dialysis access.
AB - Objective: To describe a single institutional experience with minimally invasive limited ligation endoluminal-assisted revision (MILLER) for treatment of dialysis access steal syndrome (DASS). Materials and Methods: Twenty patients were retrospectively identified that underwent 30 MILLER band procedures for DASS at our institution from March 2010 to December 2014. Technical success was defined by successful creation of MILLER band with preservation of flow for hemodialysis. Clinical success was defined as complete resolution of signs and symptoms with preservation of dialysis access in a 1-month postprocedural period. Primary MILLER band patency, postintervention-assisted primary access patency, and postprocedure secondary access patency are reported. Results: Technical success was achieved in all patients. Clinical success was achieved in 75% of patients after one banding procedure and in 95% of patients after two banding procedures. One patient experienced access thrombosis following the initial banding procedure which was subsequently treated and did not lead to loss of access. MILLER band patency was 83% at 1 month and 77% at 6 months. Postintervention-assisted primary patency was 95%, 93%, and 92% at 3 months, 6 months, and 1 year, respectively. Postintervention secondary patency was 86%, 68%, and 59% at 3 months, 6 months, and 1 year, respectively. Conclusions: MILLER banding offers a less-invasive alternative to surgical therapy that appears to be safe and permits preservation of dialysis access.
KW - Arteriovenous fistula (AVF)
KW - Dialysis access steal syndrome (DASS)
KW - End Stage Renal Disease
KW - Hemodialysis
KW - Minimally invasive limited ligation endoluminal-assisted revision (MILLER)
UR - http://www.scopus.com/inward/record.url?scp=84947968316&partnerID=8YFLogxK
U2 - 10.1016/j.clinimag.2015.09.019
DO - 10.1016/j.clinimag.2015.09.019
M3 - Article
C2 - 26615898
AN - SCOPUS:84947968316
SN - 0899-7071
VL - 40
SP - 569
EP - 572
JO - Clinical Imaging
JF - Clinical Imaging
IS - 3
ER -