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Short interposition grafting for dialysis-access steal syndrome treatment
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Short interposition grafting for dialysis-access steal syndrome treatment
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Short interposition grafting for dialysis-access steal syndrome treatment
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Journal Article
Short interposition grafting for dialysis-access steal syndrome treatment
2022
Overview
Under local anaesthesia, we inserted a short expanded polytetrafluoroethylene (ePTFE) graft (Gore Intering) with a diameter of 6 mm and a length of 3 cm extending 1 cm beyond the anastomosis (figure 1A,B). Because of the discrepancy between the diameters, the anastomoses were created obliquely and performed, so that the resulting angles in the anastomoses corresponded to the upward rotation of the cephalic vein. [...]we created short stenosis of 4 mm in a large outflow vein of 12–15 mm, achieving a flow reduction of approximately 60%. In this case, the fistula is ligated and blood flow is restored with a venous bypass from the proximal radial or ulnar artery.1 In conclusion, we believe that our technique represents an alternative flow-limiting procedure for the treatment of access-related steal syndrome in hyperfunctioning fistulas.
Publisher
BMJ Publishing Group LTD,BMJ Publishing Group
