Dialysis access steal syndromes

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Dialysis-associated steal syndromes remain a vexing problem for the busy vascular access surgeon. Those factors associated with ischemia include the elderly, diabetic, female, preexisting cardiac disease and brachial anastomosis, and previous ipsilateral access. A constellation of symptoms and findings based on underlying arterial disease and flow characteristics are necessary to provide prompt diagnosis and initiate treatment. Although a digital brachial index (DBI) >1 and transcutaneous oxygen tension (TCPO2) measurements >60 mm Hg accurately predict a patient not at risk, no DBI or TCPO2 levels below that accurately predict if a patient will develop dialysis-associated ischemia. The goal of the vascular access surgeon is to provide prompt recognition and treatment of the disorder to maximize both limb salvage and access salvage. Continuation of angio access in the same extremity can be accomplished in most individuals.

Original languageEnglish
Pages (from-to)36-39
Number of pages4
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume21
Issue number1
DOIs
StatePublished - 2009

Fingerprint

Dialysis
Arm
Blood Vessels
Ischemia
Limb Salvage
Preexisting Condition Coverage
Heart Diseases
Extremities
Oxygen
Therapeutics
Surgeons

Keywords

  • Dialysis access
  • Digital brachial index
  • Fistula
  • Ischemia

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Dialysis access steal syndromes. / Lemmon, Gary; Murphy, Michael.

In: Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 21, No. 1, 2009, p. 36-39.

Research output: Contribution to journalArticle

@article{d763c8a0e5a9433cbeb42c4c563a3aae,
title = "Dialysis access steal syndromes",
abstract = "Dialysis-associated steal syndromes remain a vexing problem for the busy vascular access surgeon. Those factors associated with ischemia include the elderly, diabetic, female, preexisting cardiac disease and brachial anastomosis, and previous ipsilateral access. A constellation of symptoms and findings based on underlying arterial disease and flow characteristics are necessary to provide prompt diagnosis and initiate treatment. Although a digital brachial index (DBI) >1 and transcutaneous oxygen tension (TCPO2) measurements >60 mm Hg accurately predict a patient not at risk, no DBI or TCPO2 levels below that accurately predict if a patient will develop dialysis-associated ischemia. The goal of the vascular access surgeon is to provide prompt recognition and treatment of the disorder to maximize both limb salvage and access salvage. Continuation of angio access in the same extremity can be accomplished in most individuals.",
keywords = "Dialysis access, Digital brachial index, Fistula, Ischemia",
author = "Gary Lemmon and Michael Murphy",
year = "2009",
doi = "10.1177/1531003509333230",
language = "English",
volume = "21",
pages = "36--39",
journal = "Perspectives in Vascular Surgery and Endovascular Therapy",
issn = "1531-0035",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Dialysis access steal syndromes

AU - Lemmon, Gary

AU - Murphy, Michael

PY - 2009

Y1 - 2009

N2 - Dialysis-associated steal syndromes remain a vexing problem for the busy vascular access surgeon. Those factors associated with ischemia include the elderly, diabetic, female, preexisting cardiac disease and brachial anastomosis, and previous ipsilateral access. A constellation of symptoms and findings based on underlying arterial disease and flow characteristics are necessary to provide prompt diagnosis and initiate treatment. Although a digital brachial index (DBI) >1 and transcutaneous oxygen tension (TCPO2) measurements >60 mm Hg accurately predict a patient not at risk, no DBI or TCPO2 levels below that accurately predict if a patient will develop dialysis-associated ischemia. The goal of the vascular access surgeon is to provide prompt recognition and treatment of the disorder to maximize both limb salvage and access salvage. Continuation of angio access in the same extremity can be accomplished in most individuals.

AB - Dialysis-associated steal syndromes remain a vexing problem for the busy vascular access surgeon. Those factors associated with ischemia include the elderly, diabetic, female, preexisting cardiac disease and brachial anastomosis, and previous ipsilateral access. A constellation of symptoms and findings based on underlying arterial disease and flow characteristics are necessary to provide prompt diagnosis and initiate treatment. Although a digital brachial index (DBI) >1 and transcutaneous oxygen tension (TCPO2) measurements >60 mm Hg accurately predict a patient not at risk, no DBI or TCPO2 levels below that accurately predict if a patient will develop dialysis-associated ischemia. The goal of the vascular access surgeon is to provide prompt recognition and treatment of the disorder to maximize both limb salvage and access salvage. Continuation of angio access in the same extremity can be accomplished in most individuals.

KW - Dialysis access

KW - Digital brachial index

KW - Fistula

KW - Ischemia

UR - http://www.scopus.com/inward/record.url?scp=65449152158&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65449152158&partnerID=8YFLogxK

U2 - 10.1177/1531003509333230

DO - 10.1177/1531003509333230

M3 - Article

C2 - 19380391

AN - SCOPUS:65449152158

VL - 21

SP - 36

EP - 39

JO - Perspectives in Vascular Surgery and Endovascular Therapy

JF - Perspectives in Vascular Surgery and Endovascular Therapy

SN - 1531-0035

IS - 1

ER -