grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2013-172-6-051-055grekov-630Research ArticleВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИPROBLEMS OF GENERAL AND SPECIAL SURGERYФЕНОМЕН ИШЕМИЧЕСКОГО ОБКРАДЫВАНИЯ У ПАЦИЕНТОВ С РАЗЛИЧНЫМИ АРТЕРИОВЕНОЗНЫМИ ФИСТУЛАМИ ДЛЯ ГЕМОДИАЛИЗА И ЕГО ХИРУРГИЧЕСКАЯ КОРРЕКЦИЯPHENOMENON OF ISCHEMIC STEAL SYNDROME IN PATIENTS WITH DIFFERENT ARTERIOVENOUS FISTULAS FOR HEMODIALYSIS AND ITS SURGICAL CORRECTIONСедовВалерий МихайловичSedovV. M.vamsedov@gamail.comКарповСергей АлександровичKarpovS. A.sego@mail.ruАлфёровСергей ВладимировичAlfyorovS. V.svaram@mail.ruГринёвКонстантин МихайловичGrinyovK. M.grunev.kotot@mail.ruСанкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаРоссияPavlov State Medical UniversityRussian Federation20131501201817265155Copyright © Седов В.М., Карпов С.А., Алфёров С.В., Гринёв К.М., 20182018Седов В.М., Карпов С.А., Алфёров С.В., Гринёв К.М.Sedov V.M., Karpov S.A., Alfyorov S.V., Grinyov K.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/630

Patients with arteriovenous fistulas (648 cases) were examined for hemodialysis. The ischemic steal syndrome was detected in 47 patients and it was associated with vascular access for hemodialysis. A frequency of given complication was studied with correlation of the type of vascular access. The data of clinical and instrumental examination were described. It was revealed, that the development of steal syndrome was influenced by the blood circulation volume velocity on fistulas. Different reconstructive operations were performed on 42 patients in order to save the access for hemodialysis and eliminate the ischemia. The ligation of fistula was carried out for 5 patients. The survival of arteriovenous fistulas after reconstructive operations was till 46 months during the period of follow-up study.

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The authors declare that there are no conflicts of interest present.