Upper Extremity Steal Syndrome Is Associated with Atherosclerotic Burden and Access Configuration

Use of the distal radial artery remnant for autogenous radial-cephalic wrist fistula after radial artery harvest for coronary artery bypass grafting

“…Multiple case series have examined the risk factors for DAASS, which include a history of diabetes mellitus, coronary artery disease, peripheral arterial disease, use of the brachial artery as inflow, straight configuration (vs looped), and female sex. 4 , 17 , 18 An increased risk of DAASS with digital-brachial indices <0.45 to 0.6 has been reported. 5 , 19 , 20 , 21 , 22 However, these studies had minimal numbers of patients with radial artery inflow, limiting their applicability to the prediction of DAASS in patients receiving autogenous radial-cephalic wrist fistulas.…”

“…Second, the use of the radial artery as inflow reduces the risk of DAASS. In the large case series of DAASS patients of Yu et al 18 and Kudlaty et al, 4 all of the patients with DAASS received HD accesses involving the brachial artery as inflow. Specifically, Kudlaty et al described 303 total patients receiving HD access during a 3-year period, with a 0% incidence of DAASS in 69 patients with distal radial artery inflow.…”

“…Dialysis access-associated steal syndrome (DAASS) has an incidence ranging from 1% to 2% with distal radial artery inflow and from 5% to 25% with brachial artery inflow. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 The higher incidence of DAASS with brachial artery inflow supports the decision of many surgeons to choose radial artery inflow whenever possible. We describe the case of a patient with exhausted hemodialysis (HD) access options in the left upper extremity (LUE), history of LUE steal syndrome, and prior right upper extremity (RUE) radial artery harvest for coronary artery bypass grafting who received an RUE autogenous radial-cephalic wrist fistula using the distal remnant of the radial artery.…”

Comparison of skin autofluorescence, a marker of tissue advanced glycation end‐products in the fistula and non‐fistula arms of patients treated by hemodialysis

“…Cryoglobulins are preferentially deposited in the skin of the lower limbs, due to a combination of lower blood flow and cooler temperature; as such we wondered whether changes in blood flow in the arm could influence deposition in the forearm volar skin in dialysis patients. The AVF is the currently preferred vascular access for HD and HDF patients, and the creation of an AVF changes blood flow within the upper arm, reducing blood flow distally and increasing flow in the deeper draining veins, 11 and increasing water retention in the arm 12,13 …”

LINC01123 Promotes the Proliferation and Migration of Vascular Smooth Muscle Cells and Alleviates Carotid Atherosclerosis by Modulating miR-1277-5p/KLF5

“…AS is the most usual and most serious type of arterial pathological changes. It often results in the involvement of critical organs such as the heart and brain, which gravely affects people's health [19,20]. In recent years, studies have substantiated that lncRNA performs a diversity of biological functions.…”