Distal radial artery ligation for treatment of steal syndrome in a distal radiocephalic arteriovenous fistula

Kamil Boyacıoğlu; Özgür Kocamaz; Bülent Mert; Nihan Kayalar; Vedat Erentuğ

doi:10.5606/tgkdc.dergisi.2015.11142

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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