Distal revascularization-interval ligation for the treatment of angioaccess-induced ischemia. Case report.
Two cases of upper extremity ischemia due to a steal phenomenon occurring after the creation of an arterio-venous fistula (AVF) for hemodialysis access are described. A successful treatment with a brachial to brachial artery vein bypass and a ligation of the artery distal to the AVF origin (DRIL-Procedure) was performed in both cases. Complete disappearance of symptoms and healing of the ischemic lesions with maintaining of the angioaccess patency 6 months after the repair reveal that this procedure corrected the stealing.
Asciutto
G
G
Department of Vascular Surgery, Ruhr Universität, Bochum, Germany. hasci@tin.it
Geier
B
B
Mumme
A
A
D000368:Aged; D001132:Arm / Q000098:blood supply*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery*; D008026:Ligation; D008297:Male; D006435:Renal Dialysis / Q000295:instrumentation; D014656:Vascular Surgical Procedures / Q000379:methods