Difference between revisions of "Vascular insufficiency from AV fistula"

(Sources)
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==Background==
 
==Background==
*Steal syndrome = Distal hypoperfusion ischemic syndrome
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*Steal syndrome = Distal hypoperfusion ischemic syndrome<ref>*Malik et Al. Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access. 2008 Jul-Sep;9(3):155-66.</ref>
 
*5-10% of brachial artery fistulas
 
*5-10% of brachial artery fistulas
 
*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
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*Patietn history may include revascularization or banding efforts that re-stenose
  
 
==Clinical Features==
 
==Clinical Features==
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==Sources==
 
==Sources==
 
<references/>
 
<references/>
*Malik et Al. Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access. 2008 Jul-Sep;9(3):155-66.
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[[Category:Nephro]]
 
[[Category:Nephro]]

Revision as of 02:04, 12 March 2015

Background

  • Steal syndrome = Distal hypoperfusion ischemic syndrome[1]
  • 5-10% of brachial artery fistulas
  • 1% of radial artery fistulas
  • Classically elderly woman with DM
  • Patietn history may include revascularization or banding efforts that re-stenose

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

  1. *Malik et Al. Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access. 2008 Jul-Sep;9(3):155-66.