Dialysis-associated steal syndrome with limb ischaemia

Description A 62-year-old man with end-stage renal failure on dialysis was referred to our hospital with worsening pain and ulceration in his right arm. To prevent irreversible injury to the affected limb, revision surgery aiming to treat the steal syndrome maintaining the patency of the vascular ac...

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Bibliographic Details
Published in:BMJ case reports 2017-08, Vol.2017, p.bcr-2017-221436
Main Authors: Karavias, Dimitrios, Tsolakis, Ioannis, Papadoulas, Spyros
Format: Article
Language:English
Subjects:
Arm - blood supply
Arm - diagnostic imaging
Arm - surgery
Arteriovenous Shunt, Surgical - adverse effects
Case reports
Catheters
Constriction, Pathologic
Diagnosis, Differential
Gangrene
Humans
Images In
Ischemia - diagnostic imaging
Ischemia - etiology
Ischemia - surgery
Male
Middle Aged
Pain
Patients
Peripheral Vascular Diseases - diagnostic imaging
Peripheral Vascular Diseases - etiology
Peripheral Vascular Diseases - surgery
Peritoneal dialysis
Renal Dialysis
Surgery
Syndrome
Ultrasonography
Veins & arteries
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Description
Summary:Description A 62-year-old man with end-stage renal failure on dialysis was referred to our hospital with worsening pain and ulceration in his right arm. To prevent irreversible injury to the affected limb, revision surgery aiming to treat the steal syndrome maintaining the patency of the vascular access was not attempted. Decreased arterial blood flow distal to an arteriovenous fistula is a common physiological phenomenon. 1 Most patients are asymptomatic and only a small number of...
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-221436