Minimally Invasive Limited Ligation Endoluminal-assisted Revision (MILLER) banding is a minimally invasive technique for banding dialysis accesses in cases of Dialysis-associated Steal Syndrome

Vascular access steal syndrome

In nephrology, vascular access steal syndrome or Dialysis-associated Steal Syndrome , also known less precisely as steal syndrome, refers to vascular insufficiency resulting from an arteriovenous fistula or synthetic vascular graft-AV fistula)....

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Procedure

The 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.