| Banding between dialysis puncture sites to treat severe ischemic steal syndrome in low flow autogenous arteriovenous access. | |
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MedLine Citation:
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PMID: 20385463 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Dialysis-associated steal syndrome with rest pain and ischemic nonhealing ulcers dictates prompt surgical intervention. Distal revascularization with interval ligation is extensive surgery for frail patients in whom calcified distal arteries make anastomosis difficult. Simple banding is appropriate in high-flow fistulas. In low-flow accesses, further flow reduction by simple banding may result in inadequate dialysis and cause thrombosis. However, banding between puncture sites maintains a pressure gradient between the arterial and venous puncture sites that enables adequate flow with effective hemodialysis that would not be possible with banding at the anastomosis. This new technique is a good solution for maintaining access patency and increasing digital pressure while avoiding complicated surgical revisions in high-risk patients. |
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Authors:
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David Shemesh; Ilya Goldin; Oded Olsha |
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Publication Detail:
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Type: Journal Article Date: 2010-04-10 |
Journal Detail:
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Title: Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter Volume: 52 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-30 Completed Date: 2010-08-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 495-8 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Surgery, Vascular Access Center, Shaare Zedek Medical Center, Jerusalem, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arteriovenous Shunt, Surgical / adverse effects* Blood Pressure Hemodynamics* Humans Ischemia / diagnosis, etiology, physiopathology, surgery* Middle Aged Punctures Regional Blood Flow Renal Dialysis* Reoperation Severity of Illness Index Treatment Outcome Ultrasonography, Doppler, Color Upper Extremity / blood supply* Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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