Vascular access steal syndrome: Difference between revisions
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{{WikiDoc Cardiology News}} | {{WikiDoc Cardiology News}} | ||
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{{SK}} Steal syndrome | |||
==Overview== | |||
In [[nephrology]], '''vascular access steal syndrome''', also known less precisely as '''[[steal syndrome]]''', refers to [[ischemia|vascular insufficiency]] resulting from a poorly constructed arteriovenous fistula ([[Cimino fistula]], or synthetic vascular graft-AV fistula). | |||
==History and Symptoms== | |||
*[[Pain and nociception|Pain]] distal to the fistula. | |||
==Physical Examination== | |||
== | |||
*[[Pallor]] | *[[Pallor]] | ||
*Diminished [[pulse]]s (distal to the fistula) | *Diminished [[pulse]]s (distal to the fistula) | ||
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*Decreased wrist-[[brachial artery|brachial]] index (ratio of [[blood pressure]] measured in the wrist and the blood pressure measured in the upper arm) | *Decreased wrist-[[brachial artery|brachial]] index (ratio of [[blood pressure]] measured in the wrist and the blood pressure measured in the upper arm) | ||
== | ==Diagnosis== | ||
*[[Arteriography]]<ref>{{cite journal | author = Asif A, Leon C, Merrill D, Bhimani B, Ellis R, Ladino M, Gadalean F | title = Arterial steal syndrome: a modest proposal for an old paradigm. | journal = Am J Kidney Dis | volume = 48 | issue = 1 | pages = 88-97 | year = 2006 | id = PMID 16797390}}</ref> | *[[Arteriography]]<ref>{{cite journal | author = Asif A, Leon C, Merrill D, Bhimani B, Ellis R, Ladino M, Gadalean F | title = Arterial steal syndrome: a modest proposal for an old paradigm. | journal = Am J Kidney Dis | volume = 48 | issue = 1 | pages = 88-97 | year = 2006 | id = PMID 16797390}}</ref> | ||
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*Access ligation/vein banding (banding of the fistula or a vessel distal to the fistula to restrict flow through the fistula) | *Access ligation/vein banding (banding of the fistula or a vessel distal to the fistula to restrict flow through the fistula) | ||
== | ==References== | ||
{{reflist|2}} | |||
==Related Chapters== | |||
*[[Subclavian steal syndrome]] | *[[Subclavian steal syndrome]] | ||
*[[Terms for anatomical location]] | *[[Terms for anatomical location]] | ||
[[Category:Nephrology]] | [[Category:Nephrology]] | ||
Latest revision as of 18:33, 28 September 2012
Template:WikiDoc Cardiology News Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: Steal syndrome
Overview
In nephrology, vascular access steal syndrome, also known less precisely as steal syndrome, refers to vascular insufficiency resulting from a poorly constructed arteriovenous fistula (Cimino fistula, or synthetic vascular graft-AV fistula).
History and Symptoms
- Pain distal to the fistula.
Physical Examination
- Pallor
- Diminished pulses (distal to the fistula)
- Necrosis[1]
- Decreased wrist-brachial index (ratio of blood pressure measured in the wrist and the blood pressure measured in the upper arm)
Diagnosis
Treatment
- Access ligation/vein banding (banding of the fistula or a vessel distal to the fistula to restrict flow through the fistula)
References
- ↑ Porcellini M, Selvetella L, De Rosa P, Baldassarre M, Bauleo A, Capasso R. "[Hand ischemia due to "steal syndrome" in vascular access for hemodialysis]". G Chir. 18 (1–2): 27–30. PMID 9206477.
- ↑ Asif A, Leon C, Merrill D, Bhimani B, Ellis R, Ladino M, Gadalean F (2006). "Arterial steal syndrome: a modest proposal for an old paradigm". Am J Kidney Dis. 48 (1): 88–97. PMID 16797390.