Prophylactic distal revascularization with interval ligation and simultaneous arteriovenous fistula creation in high-risk patients

Journal Article (Journal Article)

Dialysis access-related ischemic steal syndrome is a well-recognized dialysis access complication. When severe, manifestations include rest pain, hand dysfunction, and tissue loss. Dialysis access attempts on the affected extremity are usually abandoned after a diagnosis of steal syndrome, and patients are often left catheter-dependent. Prophylactic distal revascularization with interval ligation has been described in patients at high-risk for steal syndrome. We present our experience with prophylactic distal revascularization with interval ligation performed simultaneously with arteriovenous fistula creation to prevent the recurrence in five patients and review the current body of literature supporting its use.

Full Text

Duke Authors

Cited Authors

  • Leake, AE; Leers, SA; Reifsnyder, T; Dillavou, ED

Published Date

  • January 1, 2015

Published In

Volume / Issue

  • 1 / 2

Start / End Page

  • 87 - 89

Electronic International Standard Serial Number (EISSN)

  • 2352-667X

Digital Object Identifier (DOI)

  • 10.1016/j.jvsc.2015.02.003

Citation Source

  • Scopus