Distal Revascularization and Interval Ligation for the Management of Dialysis Access Steal Syndrome

Distal Revascularization and Interval Ligation for the Management of Dialysis Access Steal Syndrome

Treatment options for dialysis access steal syndrome (DASS) include distal revascularization with interval ligation (DRIL), proximalization of arterial inflow (PAI), access banding, and access ligation. This study examines the efficacy of DRIL in treating DASS and reports short-term bypass patency,...

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Veröffentlicht in:Annals of vascular surgery 2021-07, Vol.74, p.29-35
Hauptverfasser: Alie-Cusson, Fanny S., Bhat, Karthik, Ramchandani, Juhi, Steerman, Samuel N., Dexter, David J., Panneton, Jean M.
Format: Artikel
Sprache:eng
Schlagworte:
Access patency
Adult
Arteries - surgery
Arteriovenous Shunt, Surgical - adverse effects
Bypass Patency
DASS
Dialysis
Dialysis access steal syndrome
Distal Revascularization and Interval ligation
DRIL
Female
Hand - blood supply
Hand ischemia
Humans
Ischemia - etiology
Ischemia - surgery
Ligation - methods
Male
Middle Aged
Renal Dialysis - adverse effects
Reoperation
Retrospective Studies
Surgical Wound Infection - etiology
Vascular Patency
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Zusammenfassung:Treatment options for dialysis access steal syndrome (DASS) include distal revascularization with interval ligation (DRIL), proximalization of arterial inflow (PAI), access banding, and access ligation. This study examines the efficacy of DRIL in treating DASS and reports short-term bypass patency, access patency, and wound infection rates. A retrospective analysis was performed on adults diagnosed with DASS following hemo-dialysis access creation who underwent DRIL procedures between January 1, 2009 and May 11, 2017. Patients
ISSN:0890-5096
1615-5947
DOI:10.1016/j.avsg.2021.01.102