Kok Hong Kuan, Maingard Julian, Asadi Hamed, Ryan Elizabeth, Sheehan Mark, Given Mark F, Lee Michael J
1Department of Interventional Radiology, Beaumont Hospital, Dublin, Ireland.
2Department of Radiology, Royal College of Surgeons in Ireland, Dublin, Ireland.
CVIR Endovasc. 2018;1(1):27. doi: 10.1186/s42155-018-0035-z. Epub 2018 Nov 3.
Arteriovenous fistulas (AVF) are the preferred method of vascular access for chronic haemodialysis. However, excess shunting through the AVF can result in dialysis-access steal syndrome (DASS) or high-output cardiac failure. Percutaneous AVF banding is a minimally-invasive technique for treating DASS with good short-intermediate term results.
We review a case series of percutaneous AVF banding procedures for DASS and high-output cardiac failure to illustrate the technique and limitations of this technique.
Two representative cases from our local experience were selected to illustrate the technique in a stepwise manner. Both cases were performed for DASS, with good technical success. However, clinical success was limited in one case due to underlying arterial insufficiency. The technique, selection of appropriate banding diameter for flow reduction, limitations and complications of alternative surgical techniques are discussed.
Percutaneous AVF banding is a relatively straightforward and effective minimally-invasive technique for treatment of DASS supported by short-intermediate term data.
动静脉内瘘（AVF）是慢性血液透析首选的血管通路方式。然而，通过AVF的过度分流可导致透析通路窃血综合征（DASS）或高输出量心力衰竭。经皮AVF绑扎术是一种治疗DASS的微创技术，短期至中期效果良好。
我们回顾了一系列用于治疗DASS和高输出量心力衰竭的经皮AVF绑扎术病例，以说明该技术及其局限性。
从我们的本地经验中选取了两个具有代表性的病例，逐步说明该技术。两个病例均因DASS接受手术，技术上均获成功。然而，其中一例因潜在的动脉供血不足，临床效果有限。本文讨论了该技术、为减少血流量选择合适的绑扎直径、替代手术技术的局限性及并发症。
经皮AVF绑扎术是一种相对简单有效的微创技术，短期至中期数据支持其可用于治疗DASS。
