Effectiveness of surgical banding for high flow in brachial artery-based hemodialysis vascular access

Roel H. D. Vaes*, Rosanne Wouda, Magda van Loon, Frank van Hoek, Jan H. Tordoir, Marc R. Scheltinga

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

18 Citations (Web of Science)

Abstract

Objective: Autogenous arteriovenous hemodialysis (HD) access may develop high flow (>2 L/min) over time. Reducing flow volume of a high-flow access (HFA) using a surgical banding technique has been reported to be successful in the short-term. The aim of this study was to evaluate the efficacy of banding in HFAs in terms of freedom from recurrence of high flow during a 1-year follow-up. Methods: All HD patients undergoing surgical banding of an HFA during an 8-year period in three hospitals were retrospectively studied. Access flow data, freedom of recurrent high flow, and complications were analyzed during a 12-month postoperative observation period. Results: A total of 50 patients (30 males; age, 51 +/- 2 years) were available for analysis. Banding was performed 30 6 6 months after arteriovenous access construction. Most of the HFA patients (56%) required medication for hypertension, but diabetes mellitus and peripheral arterial obstructive disease were seldom observed (6% and 12%, respectively). Most HFAs (96%) were brachial artery-based fistulas (brachiocephalic: 56%, basilic vein transposition: 40%, radiocephalic: 4%). Banding initially reduced access flow by >50% (3070 +/- 95 vs 1490 +/- 105 mL/min, P <.001). Recurrent high flow (>2 L/min) developed in 52% of the patients during the observation period. Young age (45 +/- 3 vs 57 +/- 3 years; P = .02) and an access flow >1 L/min immediately after banding (P = .03) were risk factors for recurrent high flow. Conclusions: An immediate postbanding access flow >1 L/min and young age are risk factors for recurrent high flow in a banded brachial artery-based HD access during a 1-year follow-up.
Original languageEnglish
Pages (from-to)762-766
JournalJournal of Vascular Surgery
Volume61
Issue number3
DOIs
Publication statusPublished - Mar 2015

Cite this