MILLER banding

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

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.

• "Minimally Invasive Limited Ligation Endoluminal-assisted Revision (MILLER) for treatment of dialysis access-associated steal syndrome". Kidney International. 70 (4): 765–70. August 2006. doi:10.1038/sj.ki.5001554. PMID 16816841.