Modified distal revascularization with interval ligation procedure for steal syndrome after arteriovenous fistula creation for hemodialysis access.

Abstract:

:Patients diagnosed with steal syndrome after hemodialysis access surgery have a few options for symptom relief while maintaining vascular access. These include fistula lengthening, banding, distal revascularization with interval ligation (DRIL), revision using distal inflow (RUDI) or proximalization of the arterial inflow (PAI). Two cases are described in which a modified DRIL procedure without interval ligation was used to relieve steal syndrome, leaving the arterial supply of an ischemic hand not entirely dependent upon a bypass. Furthermore, a review of the literature is presented in order to elucidate this relatively new treatment option as a viable means to improve hand perfusion while maintaining a functional fistula.

journal_name

Vascular

journal_title

Vascular

authors

van der Meer S,Zeebregts C,Tielliu I,Verhoeven E,van den Dungen J

doi

10.2310/6670.2007.00047

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

226-30

issue

4

eissn

1708-5381

issn

1708-539X

journal_volume

15

pub_type

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