Jornal Vascular Brasileiro
Print version ISSN 1677-5449
LINARDI, Fábio et al. Surgical treatment of "steal syndrome" at hemodialysis vascular access with revascularization and distal artery ligation. J. vasc. bras. [online]. 2006, vol.5, n.2, pp. 117-122. ISSN 1677-5449. http://dx.doi.org/10.1590/S1677-54492006000200007.
OBJECTIVE: The authors report results for the surgical treatment of ischemic "steal syndrome" resulting from hemodialysis vascular access with distal revascularization-interval ligation procedure. METHODS: From December 2003 through November 2004, four patients with "steal syndrome" resulting from hemodialysis vascular access were submitted to distal revascularization-interval ligation and followed until December 2005. All four patients had rest pain and two developed ulcerations. RESULTS: All patients presented regression of symptoms, healing of ulcerations, and continued to use the same vascular access for hemodialysis. CONCLUSION: The authors conclude that the distal revascularization-interval ligation procedure is the treatment of choice for ischemic "steal syndrome", since it effectively treats the ischemic symptoms and maintains a functioning vascular access.
Keywords : Vascular access; steal syndrome; hemodialysis; arteriovenous fistula.