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MILLER banding

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MILLER banding
SpecialtyNephrology

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

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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

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