Vascular insufficiency from AV fistula: Difference between revisions
No edit summary |
|||
| Line 13: | Line 13: | ||
==Workup== | ==Workup== | ||
*Diagnosed by Doppler US or angiography | |||
==Management== | ==Management== | ||
Revision as of 14:08, 11 March 2015
Background
- Steal syndrome = Distal hypoperfusion ischemic syndrome
- 5-10% of brachial artery fistulas
- 1% of radial artery fistulas
- Classically elderly woman with DM
Clinical Features
- Distal extremity becomes ischemic due shunting of arterial blood to venous side
- Exercise pain, nonhealing ulcers, cool, pulseless digits
Differential Diagnosis
AV Fistula Complications
- Clotting of AV fistula
- Infection of AV fistula
- Hemorrhage of AV fistula
- Vascular insufficiency from AV fistula
- AV fistula aneurysm/pseudoaneurysm
- High-output heart failure from AV fistula
Workup
- Diagnosed by Doppler US or angiography
Management
- Surgery
Disposition
- Admit