Simple and durable resolution of steal syndrome by conversion of brachial artery arteriovenous fistulas to proximal radial artery inflow

被引:19
作者
Beecher, Brett A. [1 ]
Taubman, Kevin E. [1 ]
Jennings, William C. [1 ]
机构
[1] Univ Oklahoma, Coll Med, Dept Surg, Tulsa, OK 74135 USA
关键词
Steal syndrome; DASS; Arteriovenous fistula; Vascular access; Hemodialysis; VASCULAR ACCESS; DISTAL REVASCULARIZATION; INTERVAL LIGATION; HAND ISCHEMIA; HEMODIALYSIS; STRATEGIES; DIAGNOSIS; GRAFTS;
D O I
10.5301/JVA.2010.2492
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Dialysis associated steal syndrome (DASS) is relatively uncommon but constitutes a serious risk for patients undergoing vascular access operations. We report two patients with DASS where brachial artery vascular access inflow was revised to the proximal radial artery for arteriovenous fistula (AVF) inflow. DASS was resolved in both patients with the permanent resolution of symptoms, in addition to the healing of ulcerations and ischemia. Both AVFs were immediately functional and durable.
引用
收藏
页码:352 / 355
页数:4
相关论文
共 34 条
  • [1] Andrade J L, 2004, J Vasc Access, V5, P33
  • [2] Proximal radial artery as inflow site for native arteriovenous fistula
    Bruns, SD
    Jennings, WC
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2003, 197 (01) : 58 - 63
  • [3] DUNLOP MG, 1986, ANN ROY COLL SURG, V68, P203
  • [4] 'Extension technique': A modified technique for brachio-cephalic fistula to prevent dialysis access-associated steal syndrome
    Ehsan, O
    Bhattacharya, D
    Darwish, A
    Al-khaffaf, H
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2005, 29 (03) : 324 - 327
  • [5] Minimally Invasive Limited Ligation Endoluminal-assisted Revision (MILLER) for treatment of dialysis access-associated steal syndrome
    Goel, N.
    Miller, G. A.
    Jotwani, M. C.
    Licht, J.
    Schur, I.
    Arnold, W. P.
    [J]. KIDNEY INTERNATIONAL, 2006, 70 (04) : 765 - 770
  • [6] Steal syndrome complicating hemodialysis access procedures: Can it be predicted?
    Goff, CD
    Sato, DT
    Bloch, PHS
    DeMasi, RJ
    Gregory, RT
    Gayle, RG
    Parent, FN
    Meier, GH
    Wheeler, JR
    [J]. ANNALS OF VASCULAR SURGERY, 2000, 14 (02) : 138 - 144
  • [7] Analysis of options for mitigating hemodialysis access-related ischemic steal phenomena
    Gradman, WS
    Pozrikidis, C
    [J]. ANNALS OF VASCULAR SURGERY, 2004, 18 (01) : 59 - 65
  • [8] GUPTA N, J VASC SURG IN PRESS
  • [9] Hemphill H, 2003, SEMIN DIALYSIS, V16, P214, DOI 10.1046/j.1525-139X.2003.16042_1.x
  • [10] Creating arteriovenous fistulas in 132 consecutive patients - Exploiting the proximal radial artery arteriovenous fistula: Reliable, safe, and simple forearm and upper arm hemodialysis access
    Jennings, WC
    [J]. ARCHIVES OF SURGERY, 2006, 141 (01) : 27 - 32