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Treatment of hemodialysis access steal syndrome by distal revascularization arterial ligature: report of three cases

Arteriovenous fistulas for hemodialysis may present long-term complications. Among the least frequent complications, there is the steal syndrome. The authors report the experience of three patients that presented with critical limb ischemia years after the access confection of brachiocephalic arteriovenous fistulas, with little response to clinical treatment. Distal revascularization interval ligation was performed in all cases, with good outcome. Due to small quantity of the cases, we decided to report the experience and review the literature on the subject.

arteriovenous shunt; ischemia; hemodialysis; arteriovenous fistula; therapeutic


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