Distal revascularization and interval ligation (DRIL) procedure requires a long bypass for optimal inflow
Author(s) -
David Kopriva,
Donald J. McCarville,
Sanjay M. Jacob
Publication year - 2014
Publication title -
canadian journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.609
H-Index - 64
eISSN - 1488-2310
pISSN - 0008-428X
DOI - 10.1503/cjs.000613
Subject(s) - medicine , brachial artery , blood pressure , cardiology , revascularization , hemodialysis , arteriovenous fistula , ligation , artery , surgery , myocardial infarction
Distal revascularization and interval ligation (DRIL) is commonly used to treat ischemic steal syndrome caused by arteriovenous hemodialysis access and has been associated with good outcomes. However, the literature lacks technical details of a successful intervention. We tested the hypothesis that a brachial-level arteriovenous fistula (AVF) generates a zone of low arterial blood pressure in the brachial artery near the AVF origin.
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