Critical Hand Ischemia after Angioaccess Surgery: Diagnosis and Treatment

Sessa, Carmine; Pecher, Mathieu; Maurizi-Balzan, Jocelyne; Pichot, Olivier; Tonti, Franco; Farah, I; Magne, Jean-Luc; Guidicelli, H

doi:10.1007/s100169910107

Cited by 39 publications

(20 citation statements)

References 39 publications

(79 reference statements)

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“…Additionally, the dialysis access can exacerbate these ischemic symptoms by reversing the flow in native artery away from the forearm and hand. 8 The lack of sufficient collaterals is an additional factor that contributes to the development of ischemic symptoms in the hand and fingers. 8 The development of hand ischemia that requires further surgical intervention is between 5 to 8%.…”

mentioning

confidence: 99%

“…8 The lack of sufficient collaterals is an additional factor that contributes to the development of ischemic symptoms in the hand and fingers. 8 The development of hand ischemia that requires further surgical intervention is between 5 to 8%. [1][2][3][4][5][6][7]9,10 Many surgical options have been described for the treatment of dialysis-associated arterial steal syndrome.…”

mentioning

confidence: 99%

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Distal Revascularization and Interval Ligation: A Primer for the Vascular and Interventional Radiologist

Regalado

Navuluri²,

Vikingstad³

2009

Semin intervent Radiol

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Dialysis-associated steal syndrome is a clinically significant complication associated with the creation of dialysis grafts or fistulae. The distal revascularization and interval ligation (DRIL) procedure is a surgical procedure, which has been used to treat patients with hand ischemia secondary to arterial ''steal'' from dialysis accesses. This article will review the dialysis-associated steal syndrome and the history, anatomy, and clinical results of the DRIL procedure.

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confidence: 99%

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confidence: 99%

Distal Revascularization and Interval Ligation: A Primer for the Vascular and Interventional Radiologist

Regalado

Navuluri²,

Vikingstad³

2009

Semin intervent Radiol

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“…The steal syndrome shows early manifestations in fi stulas performed with a graft as opposed to their later manifestation in autogenous fi stulas in connection with fi stula development 23 . Diabetes mellitus is considered a risk factor for the occurrence of this complication 11,16,[24][25][26][27][28] . However, some authors do not agree 29 .…”

Section: Resultsmentioning

confidence: 99%

Autogenous Arteriovenous Elbow Fistula for Haemodialysis and Upper Extremity Ischemia

Bachleda¹,

Utíkal²,

Kojecký³

et al. 2007

BIOMED PAP

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Background:The autogenous brachiocefalic or brachiobasilic arteriovenous elbow fi stula is not considered to be only the secondary haemodialysis access. In patients with an unsuitable forearm vessel bundle, it is indicated as primary access and it is the method preferred to the fi stula creation using a vascular prosthesis. Its rather rare complication is the development of upper extremity ischemia.Aim: To summarise current knowledge of this fi stula type and its associated complications Methods: Review of the literature. Results:The creation and maturation of the fi stula and occurrence of the steal syndrome is infl uenced by a number of factors. The analysis and awareness of such factors will provide for creation of a suitable fi stula as well as for timely complication diagnostics and treatment.Conclusions: The autogenous elbow fi stula utilising the brachial artery and the cephalic or basilic vein in the upper extremity represents a high-quality haemodialysis access. Its potential complication is the occurrence of the steal syndrome. Its occurrence and manifestations do not constitute indications for ligation of the access. The gathered information shows that a suitable surgical procedure can help meet the basic rule for haemodialysis access -resolving the ischemia and maintaining the access.

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“…[2][3][4] Clinically significant ischemic steal syndrome can be expected in 1%-8% of patients with this type of dialysis access, and risk factors include female sex, diabetes, age older than 60 years, multiple previous AVF access sites in the same extremity and use of the brachial artery for fistula inflow. [5][6][7] Several options are available for the treatment of ischemic steal secondary to AVF dialysis access. These include ligation of the fistula, which sacrifices the access site.…”

Section: Discussionmentioning

confidence: 99%

Distal revascularization and interval ligation (DRIL) procedure requires a long bypass for optimal inflow

Kopriva

McCarville

Jacob

2014

cjs

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Critical Hand Ischemia after Angioaccess Surgery: Diagnosis and Treatment

Cited by 39 publications

References 39 publications

Distal Revascularization and Interval Ligation: A Primer for the Vascular and Interventional Radiologist

Distal Revascularization and Interval Ligation: A Primer for the Vascular and Interventional Radiologist

Autogenous Arteriovenous Elbow Fistula for Haemodialysis and Upper Extremity Ischemia

Distal revascularization and interval ligation (DRIL) procedure requires a long bypass for optimal inflow

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