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Hiperfonksiyonel Arteriovenöz Fistülde Kan Akışını Azaltmak İçin Bantlama Yöntemi

Yıl 2020, Cilt: 3 Sayı: 3, 93 - 98, 31.12.2020
https://doi.org/10.33713/egetbd.811903

Öz

Amaç: İskemik çalma fenomeni, hemodiyaliz girişi için arteriovenöz (AV) fistülün uzuv kaybı ile sonuçlanabilen kritik bir komplikasyonudur. Uzamış dijital veya distal iskemi, cerrahi revaskülarizasyon ile önlenmelidir. Bu çalışmada, bu tür hastalar için VenocuffTM bantlama yönteminin sonuçlarını araştırmayı amaçladık.
Yöntem: Hemodiyaliz girişine bağlı iskemi şikayeti olan 22 hasta çalışmaya dahil edildi. Hiperfonksiyonel AV fistülde kan akımını azaltmak için Venoocuff bantlama yöntemi uygulandı. Demografik bulgular ve postoperatif bulgular operasyonun 1. haftası başında ve 6. aydan sonra kaydedildi.
Bulgular: Yaş ortalaması 64.6 ± 27.3 yıl olan 16 (% 73) erkek hasta vardı. En sık eşlik eden hastalıklar DM (n: 20 /% 90) ve hipertansiyon (n: 22 /% 100) olarak bulundu. 12 (% 54) radyosefalik AV fistül vardı. Preoperatif ve postoperatif Vmax değerleri sırasıyla -21,3 ± -9,1 cm / s ve 24,64 ± 10,45 cm / s olarak bulundu (p = 0,000). Tüm hastalarda postoperatif erken dönemde iskemik yakınmalar ve bulgular geriledi.
Sonuç: Venocuff kullanılan bantlama yöntemi, hiperfonksiyonel AV fistülde kan akışını azaltmada ve iskemik şikayetleri iyileştirmede etkili görünmektedir.

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

Kaynakça

  • R1. Fila B, Ibeas J, Tey RR, Lovčić V, et al., Arteriovenous fistula for haemodialysis: The role of surgical experience and vascular access education. Nefrologia. 2016;36(2):89-94. doi:10.1016/j.nefro.2015.07.003
  • R2. Etli M, Yavuz T, Kayan M, et al., The Effect of Statins On The Developing Endotal Dysfunction In Arterioveneic Fistules Opening For Hemodialysis. Acta Medica Alanya 2019;3(1):27-32. Turkish DOI:10.30565/medalanya.511795
  • R3. MacRae JM, Oliver M, Clark E, et al., Canadian Society of Nephrology Vascular Access Work Group. Arteriovenous Vascular Access Selection and Evaluation. Can J Kidney Health Dis. 2016 Sep 27;3:2054358116669125. doi: 10.1177/2054358116669125. PMID: 28270917; PMCID: PMC5332074.
  • R4. Mickley V. Steal syndrome--strategies to preserve vascular access and extremity. Nephrol Dial Transplant. 2008;23(1):19-24. doi:10.1093/ndt/gfm673
  • R5. Zamani P, Kaufman J, Kinlay S. Ischemic steal syndrome following arm arteriovenous fistula for hemodialysis. Vasc Med. 2009;14(4):371-376. doi:10.1177/1358863X09102293
  • R6. Sidawy AN, Gray R, Besarab A, et al., Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025
  • R7. Gupta N, Yuo TH, Konig G 4th, et al., Treatment strategies of arterial steal after arteriovenous access. J Vasc Surg. 2011;54(1):162-167. doi:10.1016/j.jvs.2010.10.134
  • R8. Malik J, Tuka V, Kasalova Z, et al., Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access. 2008;9(3):155-166. PMID: 18850575
  • R9. Yavuz C, Demirtas S, Guclu O et al., An alternative therapy for recurrent stasis ulcers in chronic venous insufficiency: venocuff. Case Rep Vasc Med. 2012;2012:315147. doi:10.1155/2012/315147
  • R10. Kochi K, Orihashi K, Sueda T. The snuffbox technique: a reliable color Doppler method to assess hand circulation. J Thorac Cardiovasc Surg. 2003;125(4):821-825. doi:10.1067/mtc.2003.325
  • R11. Kudlaty EA, Kendrick DE, Allemang MT, et al., Upper Extremity Steal Syndrome Is Associated with Atherosclerotic Burden and Access Configuration. Ann Vasc Surg. 2016;35:82-87. doi:10.1016/j.avsg.2016.01.058
  • R12. Tynan-Cuisinier GS, Berman SS. Strategies for predicting and treating access induced ischemic steal syndrome. Eur J Vasc Endovasc Surg. 2006;32(3):309-315. doi:10.1016/j.ejvs.2006.01.003
  • R13. Coentrão L, Santos-Araújo C, et al., Effects of starting hemodialysis with an arteriovenous fistula or central venous catheter compared with peritoneal dialysis: a retrospective cohort study. BMC Nephrol. 2012;13:88.
  • R14. Manduz S, Katrancıoğlu N, Karahan O, et al., Cumhuriyet Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı’nda yapılan hemodiyaliz amaçlı A-V fistül olusturulması ameliyatlarının sonuçları. C.Ü. Tıp Fakültesi Dergisi, 2008:30(1): 28-32.
  • R15. Al-Jaishi AA, Oliver MJ, Thomas SM, et al., Patency rates of the arteriovenous fistula for hemodialysis: a systematic review and meta-analysis. Am J Kidney Dis. 2014 Mar;63(3):464-78. doi: 10.1053/j.ajkd.2013.08.023.
  • R16. Smith GE, Gohil R, Chetter IC. Factors affecting the patency of arteriovenous fistulas for dialysis access. J Vasc Surg. 2012 Mar;55(3):849-55. doi: 10.1016/j.jvs.2011.07.095.
  • R17. Kim SM, Ko HK, Noh M, et al., Factors Affecting Patency following Successful Percutaneous Intervention for Dysfunctional Hemodialysis Vascular Access. Ann Vasc Surg. 2018;47:54-61. doi:10.1016/j.avsg.2017.08.003
  • R18. Karaca OG, Kunt A, Koç A. Treatment of steal syndrome in patients with arteriovenous fistula: Narrowing the arterial part of anastomosis. Damar Cer Derg 2018;27(3):166-171
  • R19. Sheaffer WW, Hangge PT, Chau AH, et al., Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER): A Review of the Available Literature and Brief Overview of Alternate Therapies in Dialysis Associated Steal Syndrome. J Clin Med. 2018 May 29;7(6):128. doi: 10.3390/jcm7060128. PMID: 29843483; PMCID: PMC6025613.
  • R20. Plumb TJ, Lynch TG, Adelson AB. Treatment of steal syndrome in a distal radiocephalic arteriovenous fistula using intravascular coil embolization. J Vasc Surg. 2008;47(2):457-459. doi:10.1016/j.jvs.2007.08.014
  • R21. Vaes RH, Scheltinga MR. Side branch ligation for haemodialysis-access-induced distal ischaemia. Eur J Vasc Endovasc Surg. 2012;44(4):452-6. doi: 10.1016/j.ejvs.2012.07.007
  • R22. Schneider CG, Gawad KA, Strate T, et al., T-banding: a technique for flow reduction of a hyperfunctioning arteriovenous fistula. J Vasc Surg. 2006;43(2):402-405. doi:10.1016/j.jvs.2005.11.047
  • R23. Babakhani A, Jindal RM. Tube banding to correct steal syndrome after arteriovenous fistula construction for hemodialysis. Am Surg. 2014;80(3):E71-E73.
  • R24. Yaghoubian A, de Virgilio C. Plication as primary treatment of steal syndrome in arteriovenous fistulas. Ann Vasc Surg 2009;23:103-7
  • R25. Scheltinga MR, Van Hoek F, Bruyninckx CM. Surgical banding for refractory hemodialysis access-induced distal ischemia (HAIDI). J Vasc Access. 2009;10(1):43-49. doi:10.1177/112972980901000108
  • R26. Joh JH, Lee KB, Yun WS, et al., External banding valvuloplasty for incompetence of the great saphenous vein: 10-year results. Int J Angiol. 2009;18(1):25-28. doi:10.1055/s-0031-1278318

The Banding Method for the Reduction of Blood Flow in Hyperfunctioning Arteriovenous Fistula

Yıl 2020, Cilt: 3 Sayı: 3, 93 - 98, 31.12.2020
https://doi.org/10.33713/egetbd.811903

Öz

Objective: Ischemic steal syndrome is a critical complication of arteriovenous (AV) fistula for haemodialysis access that can result in limb loss. Prolonged digital or distal ischemia should be prevented with surgical revascularization. In the current study, we sought to investigate outcomes of the Venocuff banding method for such patients.
Method: Twenty-two patients with haemodialysis access related ischemia complaints were included in this study. The Venocuff banding method was applied to reduce blood flow in the hyperfunctioning AV fistula. Demographical and postoperative findings were recorded early in the first week and six months after the operation.
Findings: There were 16 (73%) male patients and an average age of 64.6 ± 27.3 years. The most commonly accompanying diseases were found to be diabetes mellitus (n:20/90%) and hypertension (n:22/100%). There were 12 (54%) radiocephalic AV fistulas. Preoperative and postoperative Vmax values were found to be -21.3 ± -9.1 cm/s and 24.64 ± 10.45 cm/s, respectively (p = 0.000). Ischemic complaints and findings regressed in the early postoperative period for all patients.
Conclusion: The banding method using Venocuff seems to be effective for reducing blood flow in hyperfunctioning AV fistula and ameliorating ischemic complaints.

Proje Numarası

yok

Kaynakça

  • R1. Fila B, Ibeas J, Tey RR, Lovčić V, et al., Arteriovenous fistula for haemodialysis: The role of surgical experience and vascular access education. Nefrologia. 2016;36(2):89-94. doi:10.1016/j.nefro.2015.07.003
  • R2. Etli M, Yavuz T, Kayan M, et al., The Effect of Statins On The Developing Endotal Dysfunction In Arterioveneic Fistules Opening For Hemodialysis. Acta Medica Alanya 2019;3(1):27-32. Turkish DOI:10.30565/medalanya.511795
  • R3. MacRae JM, Oliver M, Clark E, et al., Canadian Society of Nephrology Vascular Access Work Group. Arteriovenous Vascular Access Selection and Evaluation. Can J Kidney Health Dis. 2016 Sep 27;3:2054358116669125. doi: 10.1177/2054358116669125. PMID: 28270917; PMCID: PMC5332074.
  • R4. Mickley V. Steal syndrome--strategies to preserve vascular access and extremity. Nephrol Dial Transplant. 2008;23(1):19-24. doi:10.1093/ndt/gfm673
  • R5. Zamani P, Kaufman J, Kinlay S. Ischemic steal syndrome following arm arteriovenous fistula for hemodialysis. Vasc Med. 2009;14(4):371-376. doi:10.1177/1358863X09102293
  • R6. Sidawy AN, Gray R, Besarab A, et al., Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025
  • R7. Gupta N, Yuo TH, Konig G 4th, et al., Treatment strategies of arterial steal after arteriovenous access. J Vasc Surg. 2011;54(1):162-167. doi:10.1016/j.jvs.2010.10.134
  • R8. Malik J, Tuka V, Kasalova Z, et al., Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access. 2008;9(3):155-166. PMID: 18850575
  • R9. Yavuz C, Demirtas S, Guclu O et al., An alternative therapy for recurrent stasis ulcers in chronic venous insufficiency: venocuff. Case Rep Vasc Med. 2012;2012:315147. doi:10.1155/2012/315147
  • R10. Kochi K, Orihashi K, Sueda T. The snuffbox technique: a reliable color Doppler method to assess hand circulation. J Thorac Cardiovasc Surg. 2003;125(4):821-825. doi:10.1067/mtc.2003.325
  • R11. Kudlaty EA, Kendrick DE, Allemang MT, et al., Upper Extremity Steal Syndrome Is Associated with Atherosclerotic Burden and Access Configuration. Ann Vasc Surg. 2016;35:82-87. doi:10.1016/j.avsg.2016.01.058
  • R12. Tynan-Cuisinier GS, Berman SS. Strategies for predicting and treating access induced ischemic steal syndrome. Eur J Vasc Endovasc Surg. 2006;32(3):309-315. doi:10.1016/j.ejvs.2006.01.003
  • R13. Coentrão L, Santos-Araújo C, et al., Effects of starting hemodialysis with an arteriovenous fistula or central venous catheter compared with peritoneal dialysis: a retrospective cohort study. BMC Nephrol. 2012;13:88.
  • R14. Manduz S, Katrancıoğlu N, Karahan O, et al., Cumhuriyet Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı’nda yapılan hemodiyaliz amaçlı A-V fistül olusturulması ameliyatlarının sonuçları. C.Ü. Tıp Fakültesi Dergisi, 2008:30(1): 28-32.
  • R15. Al-Jaishi AA, Oliver MJ, Thomas SM, et al., Patency rates of the arteriovenous fistula for hemodialysis: a systematic review and meta-analysis. Am J Kidney Dis. 2014 Mar;63(3):464-78. doi: 10.1053/j.ajkd.2013.08.023.
  • R16. Smith GE, Gohil R, Chetter IC. Factors affecting the patency of arteriovenous fistulas for dialysis access. J Vasc Surg. 2012 Mar;55(3):849-55. doi: 10.1016/j.jvs.2011.07.095.
  • R17. Kim SM, Ko HK, Noh M, et al., Factors Affecting Patency following Successful Percutaneous Intervention for Dysfunctional Hemodialysis Vascular Access. Ann Vasc Surg. 2018;47:54-61. doi:10.1016/j.avsg.2017.08.003
  • R18. Karaca OG, Kunt A, Koç A. Treatment of steal syndrome in patients with arteriovenous fistula: Narrowing the arterial part of anastomosis. Damar Cer Derg 2018;27(3):166-171
  • R19. Sheaffer WW, Hangge PT, Chau AH, et al., Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER): A Review of the Available Literature and Brief Overview of Alternate Therapies in Dialysis Associated Steal Syndrome. J Clin Med. 2018 May 29;7(6):128. doi: 10.3390/jcm7060128. PMID: 29843483; PMCID: PMC6025613.
  • R20. Plumb TJ, Lynch TG, Adelson AB. Treatment of steal syndrome in a distal radiocephalic arteriovenous fistula using intravascular coil embolization. J Vasc Surg. 2008;47(2):457-459. doi:10.1016/j.jvs.2007.08.014
  • R21. Vaes RH, Scheltinga MR. Side branch ligation for haemodialysis-access-induced distal ischaemia. Eur J Vasc Endovasc Surg. 2012;44(4):452-6. doi: 10.1016/j.ejvs.2012.07.007
  • R22. Schneider CG, Gawad KA, Strate T, et al., T-banding: a technique for flow reduction of a hyperfunctioning arteriovenous fistula. J Vasc Surg. 2006;43(2):402-405. doi:10.1016/j.jvs.2005.11.047
  • R23. Babakhani A, Jindal RM. Tube banding to correct steal syndrome after arteriovenous fistula construction for hemodialysis. Am Surg. 2014;80(3):E71-E73.
  • R24. Yaghoubian A, de Virgilio C. Plication as primary treatment of steal syndrome in arteriovenous fistulas. Ann Vasc Surg 2009;23:103-7
  • R25. Scheltinga MR, Van Hoek F, Bruyninckx CM. Surgical banding for refractory hemodialysis access-induced distal ischemia (HAIDI). J Vasc Access. 2009;10(1):43-49. doi:10.1177/112972980901000108
  • R26. Joh JH, Lee KB, Yun WS, et al., External banding valvuloplasty for incompetence of the great saphenous vein: 10-year results. Int J Angiol. 2009;18(1):25-28. doi:10.1055/s-0031-1278318
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm Orijinal Araştırma
Yazarlar

İlker Kaya 0000-0002-7038-7816

Proje Numarası yok
Yayımlanma Tarihi 31 Aralık 2020
Kabul Tarihi 4 Kasım 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 3 Sayı: 3

Kaynak Göster

EndNote Kaya İ (01 Aralık 2020) The Banding Method for the Reduction of Blood Flow in Hyperfunctioning Arteriovenous Fistula. Ege Tıp Bilimleri Dergisi 3 3 93–98.

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