| Steal syndrome complicating hemodialysis access procedures: can it be predicted? | |
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MedLine Citation:
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PMID: 10742428 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The development of steal syndrome distal to an arteriovenous fistula (AVF) created for hemodialysis access remains a significant clinical problem. This study was undertaken to determine the role of intraoperative noninvasive testing in the prediction and management of steal syndrome following arteriovenous fistula creation. First, in order to determine a threshold digital/brachial index (DBI) for patients at risk for steal syndrome, we performed a retrospective review of patients who had had the DBI measured and who developed symptoms (steal syndrome) following AVF creation. This was followed by a prospective evaluation of the ability of the DBI to predict which patients undergoing AVF surgery would develop steal syndrome. A DBI of <0.6 identifies a patient at risk for steal syndrome. Intraoperative DBI cannot be used to predict which patient will develop steal syndrome; however, if revision is indicated, the DBI should be increased to >0.6. Failure to accomplish this puts the patient at risk for continued steal syndrome. |
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Authors:
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C D Goff; D T Sato; P H Bloch; R J DeMasi; R T Gregory; R G Gayle; F N Parent; G H Meier; J R Wheeler |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 14 ISSN: 0890-5096 ISO Abbreviation: Ann Vasc Surg Publication Date: 2000 Mar |
Date Detail:
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Created Date: 2000-05-12 Completed Date: 2000-05-12 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 138-44 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, Department of Surgery, Eastern Virginia Medical School, Norfolk, VA 23510, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Arm / blood supply* Arteriovenous Shunt, Surgical / adverse effects* Brachial Artery / physiology Female Hemodynamics Humans Ischemia / etiology*, physiopathology Male Middle Aged Monitoring, Intraoperative Predictive Value of Tests Prospective Studies Regional Blood Flow Renal Dialysis* Retrospective Studies Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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