Vascular access steal syndrome 5483653 215741075 2008-05-29T14:29:54Z DOI bot 6652755 Citation maintenance. Initiated by [[User:tarun2k|tarun2k]]. You can [[WP:DOI|use this bot]] yourself! Please [[User:DOI_bot/bugs|report any bugs]]. 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). ==Signs== *[[Pallor]] *Diminished [[pulse]]s (distal to the fistula) *Necrosis<ref>{{cite journal | author = Porcellini M, Selvetella L, De Rosa P, Baldassarre M, Bauleo A, Capasso R | title = [Hand ischemia due to "steal syndrome" in vascular access for hemodialysis] | journal = G Chir | volume = 18 | issue = 1-2 | pages = 27–30 | year = | pmid = 9206477}}</ref> *Decreased wrist-[[brachial artery|brachial]] index (ratio of [[blood pressure]] measured in the wrist and the blood pressure measured in the upper arm) ==Symptoms== *[[Pain and nociception|Pain]] distal to the fistula. ==Investigations== *[[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 | pmid = 16797390 | doi = 10.1053/j.ajkd.2006.03.077}}</ref> ==Treatment== *Access ligation/vein banding (banding of the fistula or a vessel distal to the fistula to restrict flow through the fistula) ==See also== *[[Subclavian steal syndrome]] *[[Terms for anatomical location]] ==References== <references/> [[Category:Nephrology]] [[Category:Vascular surgery]] [[Category:Renal dialysis]]