Open Repair and Venous Inflow Plication of the Arteriovenous Fistula Is Effective in Treating Vascular Steal Syndrome

2015 ◽  
Vol 29 (5) ◽  
pp. 927-933 ◽  
Author(s):  
Mitul S. Patel ◽  
Mark G. Davies ◽  
George M. Nassar ◽  
Joseph J. Naoum
2020 ◽  
Vol 3 (2) ◽  
pp. 147-150
Author(s):  
Kaczynski RE ◽  
Asaad Y ◽  
Valentin-Capeles N ◽  
Battista J

We discuss a case of a 58 year old male who presented for left upper extremity steal syndrome including ischemic monomelic neuropathy (IMN) 1.5 months after arteriovenous fistula creation. He presented after three surgical attempts to salvage his fistula with rest pain, complete loss of function with contracture of the 4th and 5th digits, and loss of sensation in the ulnar distribution for more than three weeks. At our institution, he underwent surgical ligation of the distal fistula and creation of a new fistula proximally, resulting in complete resolution of his vascular steal symptoms almost immediately despite the chronicity prior to surgical presentation. Our patient provides a unique perspective regarding dialysis access salvage versus patient quality of life. The patients’ functional status and pain levels should take precedence over salvage of an arteriovenous access site, and early ligation of the access should be completed prior to chronic IMN development. However, if a patient presents late along the IMN course, we recommend strong consideration of access ligation in order to attempt to regain the full neurovascular function of the extremity as we experienced in our patient.


2012 ◽  
Vol 172 (2) ◽  
pp. 349
Author(s):  
M.S. Patel ◽  
T. Street ◽  
G. Nassar ◽  
M.G. Davies ◽  
E.K. Peden ◽  
...  

2017 ◽  
Vol 18 (2) ◽  
pp. e20-e21 ◽  
Author(s):  
Usman K. Hayat ◽  
Aurang Z. Khawaja ◽  
Robert G. Jones ◽  
Nicholas G. Inston

2009 ◽  
Vol 14 (4) ◽  
pp. 371-376 ◽  
Author(s):  
Payman Zamani ◽  
James Kaufman ◽  
Scott Kinlay

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