Hemodialysis access induced distal ischemia treatment with pressure monitorization assisted banding
Küçük Resim Yok
Tarih
2013
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
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.
Açıklama
Anahtar Kelimeler
Arteriovenous Fistula; Renal Dialysis; Surgical Procedures, Operative, Adult; Aged; Arterial Pressure; Arteriovenous Fistula; Artery Surgery; Article; Blood Pressure Monitoring; Brachial Artery; Clinical Article; Female; Follow Up; Hemodialysis; Human; Ischemia; Male; Politef Implant; Radial Artery; Reoperation; Thrombosis
Kaynak
Chirurgia (Turin)
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
26
Sayı
2
