Vascular insufficiency from AV fistula

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  • 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


  • Diagnosed by Doppler US or angiography


  • Surgery


  • Admit

See Also

External Links


  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.