MILLER banding explained

MILLER banding
Specialty:Nephrology

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. MILLER banding was first proposed in 2006 by Goel N., Miller G.A., and colleagues.[1] [2]

Procedure

A fistula or graft is dissected away through a small incision. An inflated intra-luminal balloon is used to provide a solid structure (thus allowing for precise sizing of the band), and a Prolene suture is tied around the access in the region of the balloon.

References

Notes and References

  1. Goel N, Miller GA, Jotwani MC, Licht J, Schur I, Arnold WP . Minimally Invasive Limited Ligation Endoluminal-assisted Revision (MILLER) for treatment of dialysis access-associated steal syndrome. . Kidney Int . 70 . 4 . 765–70 . 2006 . 16816841 . 10.1038/sj.ki.5001554. free .
  2. Miller GA, Goel N, Friedman A, Khariton A, Jotwani MC, Savransky Y, Khariton K, Arnold WP, Preddie DC . The MILLER banding procedure is an effective method for treating dialysis-associated steal syndrome. . Kidney Int . 77 . 4 . 359–66 . 2010 . 20010547 . 10.1038/ki.2009.461. free .