VESS13. Management of Ischemic Steal Syndrome After Dialysis Access Creation

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Steal Syndrome Management with Saving Hemodialysis Access

Hemodialysis access creation is one of the most commonly performed operations in peripheral vascular surgery. Minimal shunt volume flow rates in adult patients with antilogous shunts range between 300 and 500 ml /min are adequate for dialysis purposes and maintain the patency of the fistula. With an inappropriately high shunt flow, cardiac complications from volume overload and dialysis access-...

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Alternative prosthetic vascular access creation using subscapular artery as inflow to prevent dialysis access related steal syndrome

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Understanding strategies for the treatment of ischemic steal syndrome after hemodialysis access.

The recently published guidelines of the National Kidney Foundation-Dialysis Outcome Quality Initiative have focused on improving patient outcomes and survival by providing recommendations for optimal clinical practice. These guidelines firmly endorse the establishment of autogenous hemodialysis access and recommend a 40% to 50% prevalence of autogenous fistulas among all hemodialysis patients....

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Dialysis-associated steal syndrome with limb ischaemia.

Karavias D, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221436 Description A 62-year-old man with end-stage renal failure on dialysis was referred to our hospital with worsening pain and ulceration in his right arm. He was started on haemodialysis 6 months ago, once his newly created brachiocephalic fistula was matured. Previously, he had been on peritoneal dialysis for over 2 years and was ...

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Minimally Invasive Limited Ligation Endoluminal-assisted Revision (MILLER) for treatment of dialysis access-associated steal syndrome.

Dialysis-associated steal syndrome (DASS) is defined as a clinical condition caused by arterial insufficiency distal to the dialysis access owing to diversion of blood into the fistula or graft. The incidence of symptomatic DASS requiring treatment is 1-8%. The etiology is iatrogenic and symptoms are quite debilitating. Banding of the access inflow has largely been abandoned because of the inhe...

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 2015

ISSN: 0741-5214

DOI: 10.1016/j.jvs.2015.04.014