Outcomes of blood flow suppression methods of treating high flow access in hemodialysis patients with arteriovenous fistula

The Journal of Vascular Access
Taro KannoYutaka Kanno

Abstract

A high flow access (HFA) may cause heart failure in patients with an arteriovenous fistula (AVF) undergoing hemodialysis (HD) and is associated with poor prognosis. There are a variety of blood flow suppression techniques for treating HFA; however, the therapeutic outcome is still unclear. The following three different blood flow suppression methods were performed on 74 patients with HFA: proximal artery banding with distal artery ligation (A-ban with A-lig: 12 cases); shunt vein banding (V-ban: 37 cases); and anastoplasty (Ana: 25 cases). There were no differences in the sex or mean age or duration of HD between the treatment groups. The A-ban with A-lig method was mainly selected for patients with a distal AVF and the anastoplasty method was selected most often for patients with a cubital AVF. The techniques were equally effective in reducing flow volume (FV) and the FV/cardiac output ratio (Flow/CO) to target levels, and clinical symptoms improved in all patients. The rates of HFA recurrence and AVF occlusion were significantly higher in the V-ban group (18.9% and 24.3%, respectively). A small proportion of patients in each treatment group developed a postoperative infection. Each method proved to be an effective means of tr...Continue Reading

References

Apr 28, 2004·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Jennifer M MacRaeRobert M Lindsay
Jul 30, 2005·Annals of Vascular Surgery·David J MinionEric Endean
Dec 6, 2006·Journal of Vascular Surgery·Juergen ZanowHans Scholz
Oct 19, 2007·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Carlo BasileNicola Losurdo
Apr 3, 2009·The Journal of Vascular Access·M R ScheltingaC M A Bruyninckx
May 12, 2009·Seminars in Dialysis·Frank van HoekCharles Beerenhout
Dec 20, 2014·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Shigeru NakaiYoshiharu Tsubakihara

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Citations

Sep 25, 2020·The Journal of Vascular Access·Jeremy CraneRowland Storey
Aug 18, 2018·Annals of Vascular Diseases·Takehisa Nojima, Yasuki Motomiya
Apr 30, 2019·The Journal of Vascular Access·Taro KannoYuji Kamijo
Feb 9, 2021·Annals of Vascular Surgery·Syeda Anum ZahraMohamad Bashir
Aug 12, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Charmaine E LokUNKNOWN National Kidney Foundation

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