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]]