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Dialysis Access Steal Syndrome (DASS) in a Patient with Distal Revascularization and Interval Ligation (DRIL)

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Dialysis Access Cases

Abstract

This chapter discusses the case of a patient with type 1 diabetes who had been on dialysis for 6 years using a brachial-basilic fistula. Four years earlier, the patient had developed dialysis access steal syndrome and had a distal revascularization with interval ligation (DRIL) procedure performed at that time. Over the past few months, the patient has had ipsilateral hand pain on dialysis and recently has started having hand pain and breast at rest. The patient was referred to the dialysis access center for evaluation of this hand pain.

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References

  1. Schanzer H, Schwartz M, Harrington E, Haimov M. Treatment of ischemia due to “steal” by arteriovenous fistula with distal artery ligation and revascularization. J Vasc Surg. 1988;7(6):770–3.

    CAS  PubMed  Google Scholar 

  2. Zanow J, Petzold K, Petzold M, Krueger U, Scholz H. Flow reduction in high-flow arteriovenous access using intraoperative flow monitoring. J Vasc Surg. 2006;44(6):1273–8.

    Article  PubMed  Google Scholar 

  3. Thermann F, Wollert U. Proximalization of the arterial inflow: new treatment of choice in patients with advanced dialysis shunt-associated steal syndrome? Ann Vasc Surg. 2009;23(4):485–90.

    Article  PubMed  Google Scholar 

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Correspondence to Gerald A. Beathard MD, PhD .

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Beathard, G.A. (2017). Dialysis Access Steal Syndrome (DASS) in a Patient with Distal Revascularization and Interval Ligation (DRIL). In: Yevzlin, A., Asif , A., Redfield III, R., Beathard, G. (eds) Dialysis Access Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-57500-1_54

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  • DOI: https://doi.org/10.1007/978-3-319-57500-1_54

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57498-1

  • Online ISBN: 978-3-319-57500-1

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