Treatment of steal syndrome in a distal radiocephalic arteriovenous fistula using intravascular coil embolization.
Steal syndrome is a well-described complication of arteriovenous fistulas used for hemodialysis access. Although distal revascularization with interval ligation appears to offer the greatest likelihood of symptom relief and vascular access salvage, not all fistulas are amenable to this procedure, particularly distal radiocephalic arteriovenous fistulas. In this report, we describe the treatment of steal syndrome in a patient with a distal radiocephalic arteriovenous fistula using a percutaneous approach and endovascular coils. After coil embolization of the distal radial artery and multiple collateral vessels, steal was no longer visualized using angiography, and the patient's symptoms resolved.
Plumb
Troy J
TJ
Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE 68198-3040, USA. tplumb@unmc.edu <tplumb@unmc.edu>
Lynch
Thomas G
TG
Adelson
Anthony B
AB
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002404:Catheterization; D003097:Collateral Circulation; D004621:Embolization, Therapeutic / Q000295:instrumentation; D005260:Female; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D008875:Middle Aged; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D012039:Regional Blood Flow; D006435:Renal Dialysis; D016879:Salvage Therapy; D016896:Treatment Outcome; D017535:Ulnar Artery / Q000000981:diagnostic imaging / Q000503:physiopathology