MILLER banding, whose name stands for Minimally Invasive Limited Ligation Endoluminal-assisted Revision, is a minimally invasive technique introduced in 2006 for banding a dialysis access affected by dialysis associated steal syndrome. A small surgical opening is made to reach the fistula or graft, a balloon is inflated inside the vessel to guide precise sizing, and a Prolene suture is then wrapped around the access at the balloon's location to narrow it and restrict blood flow in a controlled way. It treats steal syndrome, a complication of dialysis access that diverts too much blood away from the limb, and studies have found secondary patency of 90 percent at 24 months in one large patient group, a result that compares favorably with traditional surgical revision and rivals the success of a newly created arteriovenous fistula without the delay of waiting for a new access to mature.
Facts
FAQs
How well does a dialysis access keep working after MILLER banding?
In one group of 183 patients, secondary access patency reached 90 percent at 24 months.
Published clinical studies have reported favorable patency rates for accesses treated with MILLER banding. In a large group of 183 patients, secondary access patency reached 90 percent at 24 months, with low rates of clotting events. Primary band patency was 75 to 85 percent at 6 months in steal and high-flow cases. Sources describe these secondary patency rates as competitive with many other revision procedures and comparable to matured autogenous arteriovenous fistulas, and note that banding avoids the maturation delay of creating a new fistula. These are reported study results, not a prediction for any one person, and this page is not medical advice.
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. MILLER banding (Wikipedia)
https://en.wikipedia.org/wiki/MILLER_banding, lead section
MILLER (Minimally Invasive Limited Ligation Endoluminal-assisted Revision) banding is a minimally invasive technique for banding dialysis accesses in cases of Dialysis-associated Steal Syndrome.
Article text - era-origin-year
MILLER banding was first proposed in 2006 by Goel N., Miller G.A., and colleagues.
In Group: Dialysis and Renal Replacement Therapy, Introduction, sentence 1
MILLER (Minimally Invasive Limited Ligation Endoluminal-assisted Revision) banding is a minimally invasive technique for banding dialysis accesses in cases of Dialysis-associated Steal Syndrome.
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