Banding of hemodialysis access to treat hand ischemia or cardiac overload
| Autor: | Martin Luirink, Marc R. Scheltinga, Frank van Hoek, Charles H. Beerenhout, Huub L. Pasmans |
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| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Scoring system Time Factors medicine.medical_treatment Ischemia Pilot Projects Ventricular Function Left Arteriovenous Shunt Surgical Catheters Indwelling Refractory Renal Dialysis Internal medicine medicine Humans In patient Ligation Hemodialysis access Dialysis Vascular Patency Retrospective Studies Heart Failure Cardiovascular diseases [NCEBP 14] business.industry medicine.disease Hand Surgery Plethysmography Treatment Outcome Nephrology Regional Blood Flow Cardiology Standard protocol Kidney Failure Chronic business Perfusion Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | Seminars in Dialysis, 22, 204-8 Seminars in Dialysis, 22, 2, pp. 204-8 |
| ISSN: | 0894-0959 |
| DOI: | 10.1111/j.1525-139X.2008.00537.x |
| Popis: | Item does not contain fulltext A hemodialysis access may lead to cardiac overload (CO) or hand ischemia [hemodialysis access induced distal ischemia (HAIDI). Surgical banding restricts access flow and promotes distal perfusion. Aim of the study was to investigate short- and long-term clinical success of banding in these patient groups. After evaluation using a standard protocol, banding procedures (n = 19) were performed in patients (n = 17) with a hemodialysis access flow > or =2 l/minute or with refractory HAIDI. Various parameters including access flow, digital brachial index (DBI), and symptomatology of hand ischemia using a standard scoring system were determined before and after the operation. Surgical banding in CO patients (n = 9) lowered access flows by 2 l (Flow(preop) 3.2 +/- 0.3 l/minute vs. Flow(postop) 1.2 +/- 0.1 l/minute, p < 0.001). Banding in HAIDI patients (n = 10) increased DBI from 0.52 +/- 0.08 to 0.65 +/- 0.08 (p = 0.05), whereas ischemic symptomatology was attenuated (153 +/- 33 to 42 +/- 15, p < 0.02). All patients successfully continued dialysis, and immediate access occlusions ( |
| Databáze: | OpenAIRE |
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