European Journal of Vascular & Endovascular Surgery
Volume 32, Issue 3 , Pages 309-315 , September 2006

Strategies for Predicting and Treating Access Induced Ischemic Steal Syndrome

  • G.S. Tynan-Cuisinier

      Affiliations

    • Section of Vascular Surgery, The University of Arizona Health Sciences Center, Tucson, AZ, USA
    • ,
  • S.S. Berman

      Affiliations

    • The Southern Arizona Vascular Institute, Tucson, AZ, USA
    • Section of Vascular Surgery, The University of Arizona Health Sciences Center, Tucson, AZ, USA
    • Corresponding Author InformationCorresponding author. Scott S. Berman, MD, FACS, The Southern Arizona Vascular Institute, 6060 Fountain Plaza Dr, Ste 180, Tucson, AZ 85704, USA.

,Accepted 12 January 2006.

  • Image Result

    Intraoperative measurement of digital pressure to calculate digital–brachial index.

    Intraoperative measurement of digital pressure to calculate digital–brachial index.

  • Image Result

    Diagram of the distal revascularization–interval ligation procedure.

    Diagram of the distal revascularization–interval ligation procedure.

  • Image Result

    Intraoperative photo of the DRIL procedure to correct steal in a brachial PTFE forearm loop. The distal revascularization bypass (B) is visible under the access graft (A); silk suture marks the site o

    Intraoperative photo of the DRIL procedure to correct steal in a brachial PTFE forearm loop. The distal revascularization bypass (B) is visible under the access graft (A); silk suture marks the site of ligation (C).

  • Image Result
    Intraoperative banding technique using hemoclips to increase resistance through the access graft.

    Intraoperative banding technique using hemoclips to increase resistance through the access graft.

  • Image Result
    Diagram of the revision using distal insertion technique.

    Diagram of the revision using distal insertion technique.

 Update on Renal Access and Transplantation-one of a series of educational articles edited by Mr Christopher Gibbons, Swansea, UK.

PII: S1078-5884(06)00039-6

doi: 10.1016/j.ejvs.2006.01.003

European Journal of Vascular & Endovascular Surgery
Volume 32, Issue 3 , Pages 309-315 , September 2006

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