Repository logo
 
Publication

Arteriovenous access banding revisited

2017-05-15Journal article Restricted access
Simple item page
dc.contributor.authorTeixeira, Gabriela
dc.contributor.authorAlmeida, Paulo
dc.contributor.authorSousa, Clemente Neves
dc.contributor.authorTeles, Paulo
dc.contributor.authorDe Sousa, Paulo
dc.contributor.authorLoureiro, Luís
dc.contributor.authorTeixeira, Sérgio
dc.contributor.authorRego, Duarte
dc.contributor.authorAlmeida, Rui
dc.contributor.authorNorton de Matos, António
dc.date.accessioned2020-06-19T13:57:05Z
dc.date.available2020-06-19T13:57:05Z
dc.date.issued2017-05-15
dc.description.abstractThe aim of this study is to validate the current applicability of arteriovenous access banding in high flow access (HFA) and/or haemodialysis access-induced distal ischaemia (HAIDI). This retrospective study was conducted at the GEV (Grupo de Estudos Vasculares) vascular access centre. The clinical records of consecutive patients undergoing banding for HAIDI and HFA symptoms, between June 2011 and January 2015, were reviewed until April 2015. All vascular access patients’ consultation records and surgical notes were reviewed. We analysed and compared patients’ age, gender, comorbidities, symptoms and intraoperative ultrasound control. We defined technical failure as recurrence of symptoms, requiring new banding. Excessive banding, access thrombosis, rupture and false aneurysm development were registered as complications. Primary clinical success was defined as improvement of symptoms or effective flow reduction after banding, with no need for reintervention. If one reintervention was necessary, we have defined it as secondary clinical success. Overall, 119 patients underwent banding: 64 (54%) with HAIDI and 55 (46%) with HFA. The HAIDI group was significantly older (65 ± 13 years compared with 56 ± 22 years, p = 0.001) and had significantly greater number of patients with diabetes (56% vs 24%, p = 0.004). Primary success was achieved in 85 patients (71.4%) and the secondary success rate was 84.9%. Older age (p = 0.016) and intraoperative ultrasound control (p = 0.012) were significantly associated with primary success. Our results do not corroborate the high incidence of thrombosis previously reported as associated with AV access banding and suggest that ultrasound control is crucial for preventing technical failure. The procedure was effective on both compared groups.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Vasc Access 2017; 18(3): 225-231pt_PT
dc.identifier.doi10.5301/jva.5000699pt_PT
dc.identifier.eissn1724-6032
dc.identifier.urihttp://hdl.handle.net/10400.26/32651
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/doi/10.5301/jva.5000699pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAdultpt_PT
dc.subjectAge Factorspt_PT
dc.subjectAgedpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectArteriovenous Shunt, Surgicalpt_PT
dc.subjectBlood Flow Velocitypt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectIschemiapt_PT
dc.subjectLigationpt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectRegional Blood Flowpt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectRisk Factorspt_PT
dc.subjectTreatment Outcomept_PT
dc.subjectYoung Adultpt_PT
dc.subjectRenal Dialysispt_PT
dc.titleArteriovenous access banding revisitedpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage231pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage225pt_PT
oaire.citation.titleThe journal of vascular accesspt_PT
oaire.citation.volume18pt_PT
person.identifier.ciencia-idE215-041D-F66F
person.identifier.orcid0000-0003-2654-0497
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf794ca21-68d8-4e4e-b8dc-4d10ef6f3f2f
relation.isAuthorOfPublication.latestForDiscoveryf794ca21-68d8-4e4e-b8dc-4d10ef6f3f2f

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
artigos afiliados-76.pdf
Size:
277.83 KB
Format:
Adobe Portable Document Format
Download

Collections

ESEP - Artigos e Conference Proceedings