title: Distal Radial Artery Embolization: An Alternative Approach towards Access Preservation and Limb Salvage in Radiocephalic Arteriovenous Fistulae Complicated by Steal Syndrome.
abstract: The incidence of radiocephalic arteriovenous fistulae complicated by ischemic steal syndrome is low; however, its sequelae can be quite devastating. Traditional management includes open ligation of the distal radial artery. This series details 4 cases of successful embolization of the distal radial artery for flow interruption to treat ischemic steal syndrome and salvage functional dialysis access. For radiocephalic arteriovenous fistulae complicated by steal syndrome, distal radial artery endovascular coil embolization is a valuable treatment strategy.
authors.affiliation: Department of Vascular Surgery, Oregon Health & Science University, Portland, OR. Electronic address: o.alabi82@gmail.com.
authors.forename: Olamide
authors.initials: O
authors.lastname: Alabi
authors.affiliation: Department of Vascular Surgery, Jerry L Pettis Memorial Veterans Medical Center, Loma Linda, CA.
authors.forename: Theodore
authors.initials: T
authors.lastname: Teruya
authors.affiliation: Department of Vascular Surgery, Loma Linda University Medical Center, Loma Linda, CA.
authors.forename: Neha
authors.initials: N
authors.lastname: Sheng
authors.affiliation: Department of Vascular Surgery, Jerry L Pettis Memorial Veterans Medical Center, Loma Linda, CA.
authors.forename: Christian
authors.initials: C
authors.lastname: Bianchi
authors.affiliation: Department of Vascular Surgery, Jerry L Pettis Memorial Veterans Medical Center, Loma Linda, CA.
authors.forename: Jason
authors.initials: J
authors.lastname: Chiriano
authors.affiliation: Department of Vascular Surgery, Loma Linda University Medical Center, Loma Linda, CA.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Abou-ZamZam
mesh_terms: D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000295:instrumentation; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012039:Regional Blood Flow; D006435:Renal Dialysis; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*; D014654:Vascular Patency; D014680:Veins / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*