Distal revascularization-interval ligation for the treatment of angioaccess-induced ischemia. Case report
Asciutto, G.; Geier, B.; Mumme, A.
Minerva Urologica e Nefrologica 58(1): 91-95
2006
ISSN/ISBN: 0393-2249 PMID: 16760888 Document Number: 603502
Two cases of upper extremity ischemia due to a steal phenomenon occurring after the creation of an arterio-venous fistula (AVF) for hemodialysis access are described. A successful treatment with a brachial to brachial artery vein bypass and a ligation of the artery distal to the AVF origin (DRIL-Procedure) was performed in both cases. Complete disappearance of symptoms and healing of the ischemic lesions with maintaining of the angioaccess patency 6 months after the repair reveal that this procedure corrected the stealing.