Treatment of angioaccess-induced ischemia by revascularization

Schanzer, Harry; Skladany, Milan; Haimov, M

doi:10.1016/0741-5214(92)90048-d

Cited by 129 publications

(79 citation statements)

References 9 publications

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“…Diagnosis of steal syndrome involves hearing the history and carrying out a physical examination followed by an arteriogram to support the diagnosis and viewing the extremity via duplex Doppler ultrasound (DDU). Surgical methods such as access banding, ligation, angioplasty, bypass and sympathectomy may be used in treating it (Berman et al,1997;Jean-Baptiste et al, 2004;Schanzer et al, 1992). Native AVF infections are seen less frequently than in CVCs and AVGs (Inrig et al, 2006;Hoen et al,1998).…”

Section: U S E O F a V F I S R E C O M M E N D E D A S I T I S S U P mentioning

confidence: 99%

Acute Complications of Hemodialysis

Özkan¹,

Ulusoy²

2011

Technical Problems in Patients on Hemodialysis

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Section: U S E O F a V F I S R E C O M M E N D E D A S I T I S S U P mentioning

confidence: 99%

Acute Complications of Hemodialysis

Özkan¹,

Ulusoy²

2011

Technical Problems in Patients on Hemodialysis

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“…Under suitable anatomical conditions, the prevention can involve performance of elbow fi stula more distally on the radial or ulnar artery just under the brachial artery branching using the v. mediana antebrachii 20 . U.S. literature recognises the steal syndrome and deals with it mainly in fi stulas performed using the ePTFE graft 21,22 . The steal syndrome shows early manifestations in fi stulas performed with a graft as opposed to their later manifestation in autogenous fi stulas in connection with fi stula development 23 .…”

Section: Resultsmentioning

confidence: 99%

“…The method was described by Schanzer 39 and applied by other authors who describe positive results, i.e. the ischemic symptoms improved in 90-100 % while maintaining fi stula patency in 80-100 % 22,25,33 . In patients with a poor arterial bed in the elbow, the anastomosis on radial or ulnar artery may be technically impossible.…”

Section: Autogenous Arteriovenous Elbow Fi Stula For Haemodialysis Anmentioning

confidence: 99%

Autogenous Arteriovenous Elbow Fistula for Haemodialysis and Upper Extremity Ischemia

Bachleda¹,

Utíkal²,

Kojecký³

et al. 2007

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background:The autogenous brachiocefalic or brachiobasilic arteriovenous elbow fi stula is not considered to be only the secondary haemodialysis access. In patients with an unsuitable forearm vessel bundle, it is indicated as primary access and it is the method preferred to the fi stula creation using a vascular prosthesis. Its rather rare complication is the development of upper extremity ischemia.Aim: To summarise current knowledge of this fi stula type and its associated complications Methods: Review of the literature. Results:The creation and maturation of the fi stula and occurrence of the steal syndrome is infl uenced by a number of factors. The analysis and awareness of such factors will provide for creation of a suitable fi stula as well as for timely complication diagnostics and treatment.Conclusions: The autogenous elbow fi stula utilising the brachial artery and the cephalic or basilic vein in the upper extremity represents a high-quality haemodialysis access. Its potential complication is the occurrence of the steal syndrome. Its occurrence and manifestations do not constitute indications for ligation of the access. The gathered information shows that a suitable surgical procedure can help meet the basic rule for haemodialysis access -resolving the ischemia and maintaining the access.

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“…The prolonged bypass patency rates are expected since the relative brief extent of the graft as it involves a vein based brachial artery bypass and the adequate inflow. Many literatures had declared prolonged access patency following DRIL of 76% to 82% at 5 years [8,21,22]. Inspite of worries related to the demand of an axial artery ligation and limb dependence on an arterial bypass, several large series have found graft thrombosis as a rare condition, with 1ry patency of 86% to 100% at 1 year and 78% 6 5% to 96.9% at 5 years [9,23].…”

Section: Discussionmentioning

confidence: 99%

“…Although rare, ischemia of the hand resulting from steal syndrome could be seriously dampened and seen in about 5% of subjects with upper limb arteriovenous fistulae (AVF) [1]. Clinically relevant ischemic hand post hemodialysis access surgery is rare (1-4%) in native AVF.…”

Section: Introductionmentioning

confidence: 99%