Alternative prosthetic vascular access creation using subscapular artery as inflow to prevent dialysis access related steal syndrome

In patients highly suspected of developing steal syndrome, the subscapular artery may be a good supplier for functional prosthetic arteriovenous access, as well as a good solution for the prevention of steal syndrome. A 51-year-old woman was preparing to have a loop shaped polytetrafluoroethylene (PTFE) graft placed at the left upper extremity. The diameter of subscapular the artery was 3 mm. Arterial calcification was not evident. The diameter of the basilic vein was 6 mm. A 50-cm long 4-7 mm tapered PTFE graft was placed in a loop shape between both skin incisions. The patient was uneventfully discharged at postoperative day 4 without any remaining steal syndrome. The PTFE graft was well-functioning during the follow-up period. The patient did not experience symptoms of steal syndrome any longer.