ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Distal radial artery ligation for treatment of steal syndrome in a distal radiocephalic arteriovenous fistula
Kamil Boyacıoğlu1, Özgür Kocamaz2, Bülent Mert1, Nihan Kayalar1, Vedat Erentuğ1
1Department of Cardiovascular Surgery, Bağcılar Training and Reserach Hospital, İstanbul, Turkey
2Department of Cardiovascular Surgery, İstanbul Research and Training Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2015.11142
Hand ischemia in patients on hemodialysis treatment due to end-stage renal failure is a special condition. The presence of steal syndrome in patients with a radiocephalic arteriovenous fistula is quite rare with a different pathophysiological etiology. In this article, we present a 65-year-old female patient who underwent distal radial artery ligation. The patient presented with a nonhealing ulcer of her right hand as a result of ischemic steal syndrome 11 years after opening of a right radiocephalic arteriovenous fistula due to shunting from ulnar artery to the arteriovenous fistula retrogradely via palmar arch.
Keywords : Arteriovenous fistula; chronic kidney failure; radial artery; steal syndrome; surgery
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