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Access Banding?



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Jun 28, 2009 07:00 AM

Access Banding?


Okay, I have been a crosstrained acute/chronic dialysis nurse for 8 months. A CCU floor nurse asked me about access banding procedures. I have never heard of it. Any information would be welcomed. Thanks

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3 Comments
No. 1
from Tish88
Old Jun 28, 2009, 07:13 AM

Default Re: Access Banding?
Banding is used when a patient is experiencing "steal syndrome".
This procedure is used to reduce the flow into the access and allows for an increased blood flow to the extremity.
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No. 2
from traumaRUs
Old Jun 28, 2009, 08:07 AM

Default Re: Access Banding?
Right - you "band off" or ligate the collateral vessels.
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No. 3
from Tish88
Old Jun 28, 2009, 08:12 AM

Default Re: Access Banding?
You can also band at the anastomosis site to the venous side, to restrict the flow, but you need to make sure you still have enough flow to the fistula. It is a good idea to ligate the collateral vessels at the same time.
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