| Primary arteriovenous fistula inflow proximalization for patients at high risk for dialysis access-associated ischemic steal syndrome. | |
| | |
MedLine Citation:
|
PMID: 21458197 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Establishing a functional vascular access while minimizing the risk of dialysis access-associated ischemic steal syndrome (DASS) may present a challenging problem in patients with severe peripheral vascular disease where even a low-flow arteriovenous fistula (AVF) may lead to severe symptoms and physical findings of DASS. Proximalization of arterial inflow for an existing vascular access is established as an effective treatment for DASS. We hypothesized that a primary proximal arterial inflow procedure for vascular access in patients judged to be at high risk for DASS would result in a successful hemodialysis access and mitigate the risk of steal syndrome. We report four such patients considered to be at significant risk for DASS after construction of a new vascular access. An axillary artery AVF inflow anastomosis was constructed in each patient. The access outflow configuration varied with the available venous outflow conduit identified during the preoperative ultrasound evaluation. In all four patients in this report, a functional autogenous dialysis access was established without DASS. |
| | |
Authors:
|
William C Jennings; Robert E Brown; Carmen Ruiz |
Related Documents
:
|
20947847 - Autoantibodies against oxidized low-density lipoprotein in cerebral small vessel disease. 10721787 - Serologic prevalence of antibody to human herpesvirus type 8 in patients with various m... 3436097 - Evidence for activation of complement in patients with aids related complex (arc) and/o... 20556197 - Proteomic analysis of sera of asymptomatic, early-stage patients with wilson's disease. 12742677 - Thyroid hypofunction in patients with rapid-cycling bipolar disorder after lithium chal... 18333127 - Selective mrcp in the management of suspected common bile duct stones. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-3-30 |
Journal Detail:
|
Title: Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter Volume: - ISSN: 1097-6809 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-4-4 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved. |
Affiliation:
|
Department of Surgery, University of Oklahoma School of Community Medicine, Tulsa, Okla. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Self-management programs for chronic musculoskeletal pain conditions: A systematic review and meta-a...
Next Document: Society for Vascular Surgery Vascular Registry evaluation of stent cell design on carotid artery ste...