Vascular access steal syndrome

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In nephrology, vascular access steal syndrome, also known less precisely as steal syndrome, refers to vascular insufficiency resulting from a poorly constructed arteriovenous fistula (Cimino fistula, or synthetic vascular graft-AV fistula).

Contents 1 Signs 2 Symptoms 3 Investigations 4 Treatment 5 See also 6 References

[edit] Signs

• Pallor
• Diminished pulses (distal to the fistula)
• Necrosis^[1]
• Decreased wrist-brachial index (ratio of blood pressure measured in the wrist and the blood pressure measured in the upper arm)

[edit] Symptoms

• Pain distal to the fistula.

[edit] Investigations

• Arteriography^[2]

[edit] Treatment

• Access ligation/vein banding (banding of the fistula or a vessel distal to the fistula to restrict flow through the fistula)

[edit] See also

• Subclavian steal syndrome
• Terms for anatomical location

[edit] References

1. ^ Porcellini M, Selvetella L, De Rosa P, Baldassarre M, Bauleo A, Capasso R. "[Hand ischemia due to "steal syndrome" in vascular access for hemodialysis]". G Chir 18 (1-2): 27–30. PMID 9206477. 
2. ^ Asif A, Leon C, Merrill D, Bhimani B, Ellis R, Ladino M, Gadalean F (2006). "Arterial steal syndrome: a modest proposal for an old paradigm.". Am J Kidney Dis 48 (1): 88–97. doi:10.1053/j.ajkd.2006.03.077. PMID 16797390.