Management of Vascular Access Steal Syndrome after High Flow Arterio-venous Fistula with Revision Using Distal Inflow (RUDI) Technique
Journal Title: MGM JOURNAL OF MEDICAL SCIENCES - Year 2018, Vol 5, Issue 3
Abstract
Out of 377 patients of end-stage renal disease (ESRD) undergoing hemodialysis through a surgically constructed arteriovenous fistula (AVF), eight patients developed vascular access steal syndrome (VASS) with severe ischemia of the hand on the affected side. Six of these patients were treated with revision using distal inflow (RUDI) technique, in which the fistula is ligated, and an autologous saphenous vein graft is interposed between the disconnected vein and a distal artery. In all these patients, symptoms and signs of hand ischemia regressed whereas flow through the AVF was preserved. We consider RUDI an effective procedure to address VASS because of AVF.
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- EP ID EP587389
- DOI 10.5005/jp-journals-10036-1201
- Views 78
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