Open AccessDistal Radial Artery Ligation for Dialysis Access Steal Syndrome
Author(s) -
David Fung,
Yaasin Abdulrehman
Publication year - 2021
Publication title -
mcgill journal of medicine
Language(s) - English
Resource type - Journals
eISSN - 1715-8125
pISSN - 1201-026X
DOI - 10.26443/mjm.v20i1.898
Subject(s) - medicine , arteriovenous fistula , dialysis , ligation , context (archaeology) , radial artery , hemodialysis , end stage renal disease , surgery , complication , fistula , ischemia , artery , cardiology , paleontology , biology
Renal replacement therapy is the definitive treatment for end stage renal disease apart from transplant. Steal syndrome, which can lead to distal limb ischemia, is a rare but serious complication in patients who undergo hemodialysis with an arteriovenous fistula. We present a case of a 48-year-old female with limited options for dialysis access who presented with symptoms of steal syndrome. Given the need to keep her current fistula, we opted to treat her with distal radial artery ligation. This case report summarizes the various surgical techniques available for treating dialysis access-associated steal syndrome and why distal radial artery ligation should be considered a viable management strategy, especially in the context of our patient.