Venous outflow banding for maturation of a percutaneous arteriovenous fistula

Venous outflow banding for maturation of a percutaneous arteriovenous fistula

In the present report, we have described venous outflow banding as a technique to assist with maturation of a percutaneous arteriovenous fistula (pAVF) without sacrificing potential target veins for future access. A 47-year-old obese man had undergone pAVF creation between the right ulnar vessels wi...

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Bibliographic Details
Main Authors: Maria Barahona, MD, Britt Tonnessen, MD, Jonathan Cardella, MD, Anushree Shirali, MD, Juan Carlos Perez-Lozada, MD, Cassius Iyad Ochoa Chaar, MD, MS, RPVI
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Arteriovenous fistula
Maturation failure
Preservation of conduits
Venous outflow banding
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428721002112
Description
Summary:In the present report, we have described venous outflow banding as a technique to assist with maturation of a percutaneous arteriovenous fistula (pAVF) without sacrificing potential target veins for future access. A 47-year-old obese man had undergone pAVF creation between the right ulnar vessels with coil embolization of the brachial vein. Follow-up imaging demonstrated the median cubital vein briskly filling the cephalic and basilic veins. The basilic vein was banded with the patient under local anesthesia successfully. Banding of the superficial veins provides an alternative after creation of a pAVF to preserve veins that could be used as conduits for future access.
ISSN:2468-4287

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