A new technique to correct vascular steal secondary to hemodialysis grafts.
Three patients are described who developed symptomatic steal distal to hemodialysis grafts, documented by angiodynography. Intraoperatively, the graft was plicated to increasing depths while using angiodynography over the radial and ulnar artery. When the flow became antegrade, the plication was stopped, resulting in salvageable grafts. Using the technique, all three patients had long use of the graft after the steal was corrected.
Jain
K M
KM
Michigan State University, Kalamazoo Center for Medical Studies.
Simoni
E J
EJ
Munn
J S
JS
D001132:Arm / Q000098:blood supply*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000628:therapy*; D011138:Polytetrafluoroethylene; D006435:Renal Dialysis; D013536:Suture Techniques
D011138:Polytetrafluoroethylene