Vascular insufficiency from AV fistula
Revision as of 02:04, 12 March 2015 by Rossdonaldson1 (talk | contribs)
Background
- Steal syndrome = Distal hypoperfusion ischemic syndrome[1]
- 5-10% of brachial artery fistulas
- 1% of radial artery fistulas
- Classically elderly woman with DM
- Patietn history may include revascularization or banding efforts that re-stenose
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
See Also
External Links
Sources
- ↑ *Malik et Al. Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access. 2008 Jul-Sep;9(3):155-66.