Simple and durable resolution of steal syndrome by conversion of brachial artery arteriovenous fistulas to proximal radial artery inflow.
Dialysis associated steal syndrome (DASS) is relatively uncommon but constitutes a serious risk for patients undergoing vascular access operations. We report two patients with DASS where brachial artery vascular access inflow was revised to the proximal radial artery for arteriovenous fistula (AVF) inflow. DASS was resolved in both patients with the permanent resolution of symptoms, in addition to the healing of ulcerations and ischemia. Both AVFs were immediately functional and durable.
Beecher
Brett A
BA
University of Oklahoma College of Medicine, Tulsa, Department of Surgery, Tulsa, OK 74135-2512, USA.
Taubman
Kevin E
KE
Jennings
William C
WC
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001916:Brachial Artery / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000503:physiopathology / Q000601:surgery*; D012039:Regional Blood Flow; D012086:Reoperation; D012883:Skin Ulcer / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*; D014945:Wound Healing