Distal radial artery ligation for treatment of steal syndrome associated with radiocephalic arteriovenous fistula. Issue 9 (14th September 2020)

• Record Type: Journal Article
• Authors: Tolba, Mahmoud; Maresch, Martin; Kamal, Dhafer
• Is Part Of: Journal of surgical case reports. Volume 2020:Issue 9(2020)
• Publication Date: 2020-09-14
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjaa314
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: We present a case of dialysis associated steal syndrome in a hemodialysis patient with left radiocephalic arteriovenous fistula that caused him severe rest pain. Angiography showed retrograde flow from the ulnar artery to the distal radial artery through a hypertrophied palmar arch. The problem was solved by surgical ligation of the distal radial artery leading to complete relief of patient symptoms without any notable complications.