Reversal of steal syndrome following creation of arteriovenous fistula by banding with a Gore-Tex cuff: a new technique.
Steal syndrome, especially in elderly patients with peripheral vascular disease, is a serious complication following creation of an arteriovenous fistula (AVF) that, if neglected, can lead to amputation. The classic maneuver to deal with the steal syndrome is the ligation of the AVF and performance of another procedure to gain dialysis access. We describe a simple technique of effectively reversing the steal syndrome by banding the vein of the AVF with a ringed Gore-Tex cuff that salvages the AVF and allows its immediate use for dialysis.
Papalois
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VE
Transplant Unit, St. Mary's Hospital, London, United Kingdom. vpapalois@hotmail.com
Haritopoulos
K N
KN
Labruzzo
C
C
Farrington
K
K
Hakim
N S
NS
D000368:Aged; D001132:Arm / Q000098:blood supply*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000628:therapy; D008026:Ligation / Q000379:methods*; D008297:Male; D011138:Polytetrafluoroethylene / Q000627:therapeutic use*
D011138:Polytetrafluoroethylene