Vascular insufficiency from AV fistula: Difference between revisions
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==Background== | ==Background== | ||
*Steal syndrome = Distal hypoperfusion ischemic syndrome | *Steal syndrome = Distal hypoperfusion ischemic syndrome<ref>*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.</ref> | ||
*5-10% of brachial artery fistulas | *5-10% of brachial artery fistulas | ||
*1% of radial artery fistulas | *1% of radial artery fistulas | ||
*Classically elderly woman with DM | *Classically elderly woman with DM | ||
* | *Patietn history may include revascularization or banding efforts that re-stenose | ||
==Clinical Features== | ==Clinical Features== | ||
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==Sources== | ==Sources== | ||
<references/> | <references/> | ||
[[Category:Nephro]] | [[Category:Nephro]] | ||
Revision as of 02:04, 12 March 2015
Background
- 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
- Clotting of AV fistula
- Infection of AV fistula
- Hemorrhage of AV fistula
- Vascular insufficiency from AV fistula
- AV fistula aneurysm/pseudoaneurysm
- High-output heart failure from AV fistula
Workup
- Diagnosed by Doppler US or angiography
Management
- Surgery
Disposition
- Admit
See Also
External Links
Sources
- ↑ *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.