Plethysmography and the diagnosis of the steal syndrome following placement of arteriovenous fistulas and shunts for hemodialysis access
Dally, P.; Brantigan, C.O.
Journal of Cardiovascular Surgery 28(2): 200-203
1987
ISSN/ISBN: 0021-9509 PMID: 3558472 Document Number: 303988
An arteriovenous fistula, created for hemodialysis access, may on occasion produce ischemia or even gangrene of the extremity distal to the fistula. This article describes a simple plethysmographic test which will accurately differentiate a steal syndrome from other causes of ischemia, pain, or necrosis and will allow the surgeon to remedy the problem in a specific way.