| Prevention better than cure. Avoiding steal syndrome with proximal radial or ulnar arteriovenous fistulae. | |
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MedLine Citation:
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PMID: 21462145 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background: Steal syndrome is a significant complication of arteriovenous fistulae (AVF). We wanted to assess an alternative technique to reduce the incidence of steal syndrome and add an extra option for vascular access for long-term hemodialysis patients Methods: All patients who underwent proximal radial or ulnar artery AVF between 2003 and 2007 were evaluated retrospectively. Results: There were 58 patients, 35 men and 23 women, and the median age was 60 years (range 19-85 years). The proximal radial artery was used in 50 (89%) of cases and the ulnar artery in 8. Three fistulae (5%) failed in the first week, 3 others failed later, prior to use?leading to a 90% successful patency rate.?One diabetic patient developed steal syndrome and re-presented to the surgeons at a late stage when they had finger ulceration and it was decided to ligate the fistula in this case. Thus, the overall incidence of steal syndrome was low at 2%. Conclusions: It is suggested that arterio-venous fistulae using proximal radial or ulnar arteries can be performed before brachio-cephalic fistulae since they offer long-term patency and reduced incidence of steal syndrome. Brachio-cephalic AVF can be performed subsequently if necessary. |
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Authors:
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Laura Whittaker; Ali Bakran |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-31 |
Journal Detail:
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Title: The journal of vascular access Volume: - ISSN: 1724-6032 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-4-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100940729 Medline TA: J Vasc Access Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Transplant Surgery, Royal Liverpool University Hospital, Liverpool - UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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