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

Andrew E. Leake, Steven A. Leers, Thomas Reifsnyder, Ellen D. Dillavou

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)87-89
Number of pages3
JournalJournal of Vascular Surgery Cases
Volume1
Issue number2
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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