Vascular access steal syndrome

Vascular access steal syndrome

In nephrology, vascular access steal syndrome, also known less precisely as steal syndrome, refers to vascular insufficiency resulting from a poorly constructed arteriovenous fistula (Cimino fistula, or synthetic vascular graft-AV fistula).

igns

*Pallor
*Diminished pulses (distal to the fistula)
*Necrosis [cite journal | author = Porcellini M, Selvetella L, De Rosa P, Baldassarre M, Bauleo A, Capasso R | title = [Hand ischemia due to "steal syndrome" in vascular access for hemodialysis] | journal = G Chir | volume = 18 | issue = 1-2 | pages = 27–30 | year = | pmid = 9206477]
*Decreased wrist-brachial index (ratio of blood pressure measured in the wrist and the blood pressure measured in the upper arm)

ymptoms

*Pain distal to the fistula.

Investigations

*Arteriography [cite journal | author = Asif A, Leon C, Merrill D, Bhimani B, Ellis R, Ladino M, Gadalean F | title = Arterial steal syndrome: a modest proposal for an old paradigm. | journal = Am J Kidney Dis | volume = 48 | issue = 1 | pages = 88–97 | year = 2006 | pmid = 16797390 | doi = 10.1053/j.ajkd.2006.03.077]

Treatment

*Access ligation/vein banding (banding of the fistula or a vessel distal to the fistula to restrict flow through the fistula)

ee also

*Subclavian steal syndrome
*Terms for anatomical location

References


Wikimedia Foundation. 2010.

Игры ⚽ Поможем сделать НИР

Look at other dictionaries:

  • Steal syndrome — can refer to: *vascular access steal syndrome, which is a problem related to a surgically created vascular access for hemodialysis *subclavian steal syndrome, which is often associated with syncope and typically due to atherosclerosis, or… …   Wikipedia

  • Subclavian steal syndrome — Infobox Disease Name = PAGENAME Caption = DiseasesDB = 31525 ICD10 = ICD10|G|45|8|g|40 ICD9 = ICD9|435.2 ICDO = OMIM = MedlinePlus = eMedicineSubj = eMedicineTopic = MeshID = D013349 In medicine, subclavian steal syndrome (SSS), also subclavian… …   Wikipedia

  • DRIL — (Distal revascularization interval ligation) is a surgical method of treating vascular access steal syndrome. History DRIL was first proposed by Harry Schanzer and colleagues in 1988. [1] Procedure A short distal bypass is created and the artery… …   Wikipedia

  • Nadey Hakim — GCSJ, MD, PhD, FRCS, FRCSI, FACS, FICS(Hon), FASMBS, FINS(Hon), FIMSA (Hon), born April 9, 1958. General, transplant and bariatric surgeon. Biography Nadey Hakim [1] is a doctor, surgeon and prolific author. He is Surgical Director West London… …   Wikipedia

  • Hemodialysis — In medicine, hemodialysis (also haemodialysis) is a method for removing waste products such as potassium and urea, as well as free water from the blood when the kidneys are in renal failure. Hemodialysis is one of three renal replacement… …   Wikipedia

  • Expressive aphasia — Classification and external resources Broca s area and Wernicke s area ICD 10 F80 …   Wikipedia

  • Life Sciences — ▪ 2009 Introduction Zoology       In 2008 several zoological studies provided new insights into how species life history traits (such as the timing of reproduction or the length of life of adult individuals) are derived in part as responses to… …   Universalium

  • Chiropractic — Intervention A chiropract …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”