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Plication as primary treatment of steal syndrome in arteriovenous fistulas.

Abstract：

:Steal syndrome is an uncommon complication following hemodialysis access. Options for management include fistula ligation, banding, and distal revascularization with interval ligation (DRIL). Plication is another technique that is simple yet infrequently reported. We have adopted plication as the procedure of choice for steal syndrome following autologous arteriovenous fistula (AVF) creation. We report seven cases managed by plication. All had immediate resolution of symptoms (Table I). At follow-up, all AVFs were patent and continued to be used for hemodialysis. However, one patient experienced recurrence of symptoms and required re-plication. In conclusion, plication of the autologous AVF represents a simple alternative to the management of steal syndrome.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Yaghoubian A,de Virgilio C

doi

10.1016/j.avsg.2008.08.009

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

103-7

issue

1

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(08)00310-5

journal_volume

23

pub_type

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