Difference between revisions of "Vascular insufficiency from AV fistula"

(Background)
Line 4: Line 4:
 
*1% of radial artery fistulas
 
*1% of radial artery fistulas
 
*Classically elderly woman with DM
 
*Classically elderly woman with DM
 +
*Pt hx may include revascularization or banding efforts that restenose
  
 
==Clinical Features==
 
==Clinical Features==

Revision as of 14:12, 11 March 2015

Background

  • Steal syndrome = Distal hypoperfusion ischemic syndrome
  • 5-10% of brachial artery fistulas
  • 1% of radial artery fistulas
  • Classically elderly woman with DM
  • Pt hx may include revascularization or banding efforts that restenose

Clinical Features

  • Distal extremity becomes ischemic due shunting of arterial blood to venous side
    • Exercise pain, nonhealing ulcers, cool, pulseless digits

Differential Diagnosis

AV Fistula Complications

Workup

  • Diagnosed by Doppler US or angiography

Management

  • Surgery

Disposition

  • Admit

See Also

External Links

Sources