{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T22:45:09Z","timestamp":1777848309357,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"abstract":"<jats:p>High-flow arteriovenous fistula often goes unnoticed during long-term dialysis in patients with chronic kidney failure until complications arise. The banding procedure is a commonly used method to reduce flow currently. However, data on rare but serious adverse events remain limited. This multicenter case series describes 6 patients who developed vascular rupture following banding for high-flow access, including 5 early and 1 late event. A suture-related cutting effect on dilated, high-tension vessels may be an explanation, although this remains speculative. Although previous studies have reported favorable outcomes with the Minimally Invasive Limited Ligation Endoluminal-assisted Revision and related banding techniques, our cases indicate that vascular rupture can still occur after banding for high-flow access and may be clinically serious. Further studies are warranted to better define its incidence and elucidate the underlying mechanisms.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Clinical Impact<\/jats:title>\n                    <jats:p>This multicenter case series highlights that vascular rupture may occur after banding for high-flow AVFs, including early events (15\u201333 days) and a late event at 2 years. For clinicians, the immediate implication is heightened awareness and individualized patient selection, with particular caution in patients with markedly dilated outflow veins (&gt;5 mm, especially approaching 10 mm) or vascular calcification. When these features are present, consider alternatives to a tight circumferential ligature\u2014such as partial vessel excision with direct closure or a short synthetic graft\u2014and implement close postoperative surveillance (flow, access exam, and blood pressure control).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028261440729","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T07:58:56Z","timestamp":1776671936000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Vascular Rupture After Banding for High-Flow Arteriovenous Fistula: A Multicenter Case Series"],"prefix":"10.1177","author":[{"given":"Qiquan","family":"Lai","sequence":"first","affiliation":[{"name":"Department of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyan","family":"Yang","sequence":"additional","affiliation":[{"name":"Nephrology Department Hemodialysis Vascular Access Group, The Second Affiliated Hospital of Kunming Medical University, Kunming, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuejing","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6699-654X","authenticated-orcid":false,"given":"Ziming","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348211056259"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5001554"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000621"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semnephrol.2012.10.005"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000328"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2009.461"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12359"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028261440729","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15266028261440729","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028261440729","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:32:34Z","timestamp":1777498354000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15266028261440729"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":7,"alternative-id":["10.1177\/15266028261440729"],"URL":"https:\/\/doi.org\/10.1177\/15266028261440729","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]},"article-number":"15266028261440729"}}