Vascular access steal syndrome
From Wikipedia, the free encyclopedia
In nephrology, vascular access steal syndrome, also known less precisely as steal syndrome, refers to vascular insufficiency resulting from a poorly constructed arteriovenous fistula (Cimino fistula, or synthetic vascular graft-AV fistula).
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[edit] Signs
- Pallor
- Diminished pulses (distal to the fistula)
- Necrosis[1]
- Decreased wrist-brachial index (ratio of blood pressure measured in the wrist and the blood pressure measured in the upper arm)
[edit] Symptoms
- Pain distal to the fistula.
[edit] Investigations
[edit] Treatment
- Access ligation/vein banding (banding of the fistula or a vessel distal to the fistula to restrict flow through the fistula)
[edit] See also
[edit] References
- ^ Porcellini M, Selvetella L, De Rosa P, Baldassarre M, Bauleo A, Capasso R. "[Hand ischemia due to "steal syndrome" in vascular access for hemodialysis]". G Chir 18 (1-2): 27-30. PMID 9206477.
- ^ Asif A, Leon C, Merrill D, Bhimani B, Ellis R, Ladino M, Gadalean F (2006). "Arterial steal syndrome: a modest proposal for an old paradigm.". Am J Kidney Dis 48 (1): 88-97. PMID 16797390.
