2006
DOI: 10.1590/s1677-54492006000200007
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Tratamento cirúrgico da "síndrome do roubo" em acesso vascular para hemodiálise com revascularização distal e ligadura arterial

Abstract: OBJETIVO: O propósito do trabalho é apresentar o resultado do tratamento da "síndrome do roubo", sintomática em acesso vascular para hemodiálise, utilizando a técnica da revascularização distal com ligadura arterial. PACIENTES E MÉTODOS: No período de dezembro de 2003 a novembro de 2004, quatro pacientes que apresentaram síndrome do roubo sintomática em acesso vascular para hemodiálise foram submetidos à revascularização distal com ligadura arterial e acompanhados até dezembro de 2005. Os quatro pacientes apre… Show more

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Cited by 2 publications
(4 citation statements)
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“…It is important for surgical planning to show the distal arterial outflow and the assessment of palmar arch patency [16][17][18] . Many techniques for the treatment of ischemic syndrome in patients with upper fistulas have been described, and they aim to decrease the AVF flow, thus improving distal ischemia and decreasing flow inversion in the distal artery 8,[19][20][21] . One approach is to perform plicature by a longitudinal suture of the venous segment right after the arteriovenous anastomosis, reducing its diameter and, therefore its flow, as shown in Figure 2A.…”
Section: Discussionmentioning
confidence: 99%
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“…It is important for surgical planning to show the distal arterial outflow and the assessment of palmar arch patency [16][17][18] . Many techniques for the treatment of ischemic syndrome in patients with upper fistulas have been described, and they aim to decrease the AVF flow, thus improving distal ischemia and decreasing flow inversion in the distal artery 8,[19][20][21] . One approach is to perform plicature by a longitudinal suture of the venous segment right after the arteriovenous anastomosis, reducing its diameter and, therefore its flow, as shown in Figure 2A.…”
Section: Discussionmentioning
confidence: 99%
“…DRIL consists of a bypass from the brachial artery to an artery distal to the AV anastomosis, followed by ligation of the artery between the AV fistula and the distal anastomosis, as shown in Figure 2B. This technique results in a high rate of clinical improvement, but the handicap of distal limb perfusion depending exclusively on the bypass graft's patency, for the native artery is ligated during the procedure 8 . Another technique described in the literature is treating the steal syndrome by directing flow to the distal arteries.…”
Section: Discussionmentioning
confidence: 99%
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“…-Distal revascularization and interval ligation (DRIL), proposed by Schanzer et al 17 Good long-term patency outcomes and patient's clinical improvement [18][19][20] were exclusively reported in the upper limbs. 7,9,17 As previously stated, construction of AVF in the lower limb is not frequent, being an exception choice, performed in cases in which there was exhaustion of accesses in the upper limbs.…”
Section: Discussionmentioning
confidence: 99%