PHENOMENON OF ISCHEMIC STEAL SYNDROME IN PATIENTS WITH DIFFERENT ARTERIOVENOUS FISTULAS FOR HEMODIALYSIS AND ITS SURGICAL CORRECTION
https://doi.org/10.24884/0042-4625-2013-172-6-051-055
Abstract
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.
About the Authors
V. M. Sedov
Pavlov State Medical University
Russian Federation
Russian Federation
S. A. Karpov
Pavlov State Medical University
Russian Federation
Russian Federation
S. V. Alfyorov
Pavlov State Medical University
Russian Federation
Russian Federation
K. M. Grinyov
Pavlov State Medical University
Russian Federation
Russian Federation
References
1. Бикбов Б. Т., Томилина Н. А. Состояние заместительной терапии больных с хронической почечной недостаточностью в Российской Федерации в 1998–2009 гг. (Отчет по данным Российского регистра заместительной почечной терапии) // Нефрология и диализ. 2011. № 3. С. 152–155. 2.2007 Annual Report / ERA-EDTA Registry. Academic Medical Center Department of Medical Informatics. Amsterdam: The Netherlands, 2009. P. 16–44. 3.2009 Annual Data Report, Renal Data System, USRDS / Atlas of End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Bethesda, MD, 2009. Vol. 1. P. 17–48.
2. Annual Report / ERA-EDTA Registry. Academic Medical Center Department of Medical Informatics. Amsterdam: The Netherlands, 2009. P. 16–44.
3. Annual Data Report, Renal Data System, USRDS / Atlas of End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Bethesda, MD, 2009. Vol. 1. P. 17–48.
4. Berman S. S., Gentile A. T., Glickman M. H. et al. Distal revascularization-interval ligation for limb salvage and maintenance of dialysis access in ischemic steal syndrome // J. Vasc. Surg. 1997. Vol. 26, № 3. P. 393–404.
5. Johnson C. P., Zhu Y. R., Matt C. et al. Prognostic value of intraoperative blood flow measurements in vascular access surgery // Surgery. 1998. Vol. 124, № 4. P. 729–738.
6. Lazarides M. K., Staramos D. N., Kopadis G. et al. Onset of arte rial ‘steal’ following proximal angioaccess: immediate and delayed types // Nephrol. Dial. Transplant. 2003. Vol. 18, № 11. Р. 2387–2390.
7. Lin P. H., Chen C., Suroweic S. M. et al. Management of hand ischemia in patients with hemodialysis access by distal arterial ligation and revascularization // Vasc. Endovasc. Surgery. 1999. Vol. 33, № 5. P. 481–487.
8. Lysaght M. J. Maintenance Dialysis Population Dynamics: Current trends and long-term implications // J. Am. Soc. Nephrol. 2002. Vol. 13. P. 37–40.
9. Napoli M. Echo Color Doppler & vascular accesses for hemodialysis. Milano: Wichtig Editore, 2011. P. 87–92.
10. Rutherford R. B. Rutherford’s vascular surgery / Cronenwett Jack L., Johnston K. Wayne; associate editors, Cambria Richard et al. 7th ed. Philadelphia: Saunders Elsevier, 2010. P. 1104–1154.
11. Sidawy A. N., Gray R, Besarab A. et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses // J. Vasc. Surg. 2002. Vol. 35, № 3. P. 603–610.
12. Wilson S. E. Vascular access. Principles and practice / Samuel Eric Wilson. 5th edition. Philadelphia: Lippincott Williams & Wilkins, a Wolter Kluwer business, 2010. P. 178–181.
13. Wixon C. L., Hughes J. D., Mills J. L. Understanding strategies for the treatment of ischemic steal syndrome after hemodialysis access // J. Am. Coll. Surg. 2000. Vol. 191, № 3. P. 301–310.
14. Yaghoubian A., de Virgilio C. Plication as primary treatment of steal syndrome in arteriovenous fistulas // Ann. Vasc. Surg. 2009. Vol. 23, № 1. P. 103–107.
15. Zanow J., Kruger U., Scholz H. Proximalization of the arterial inflow: a new technique to treat access-related ischemia // J. Vasc. Surg. 2006. Vol. 43, № 6. P. 1216–1221.
Review
For citations:
Sedov V.M., Karpov S.A., Alfyorov S.V., Grinyov K.M. PHENOMENON OF ISCHEMIC STEAL SYNDROME IN PATIENTS WITH DIFFERENT ARTERIOVENOUS FISTULAS FOR HEMODIALYSIS AND ITS SURGICAL CORRECTION. Grekov's Bulletin of Surgery. 2013;172(6):051-055. (In Russ.) https://doi.org/10.24884/0042-4625-2013-172-6-051-055
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