Distal Radial Artery Embolization: An Alternative Approach Towards Access Preservation and Limb Salvage in Radiocephalic Arteriovenous Fistulae Complicated by Steal Syndrome

Ann Vasc Surg. 2016 May;33:131.e1-5. doi: 10.1016/j.avsg.2016.02.006. Epub 2016 Mar 8.

Abstract

The incidence of radiocephalic arteriovenous fistulae complicated by ischemic steal syndrome is low; however, its sequelae can be quite devastating. Traditional management includes open ligation of the distal radial artery. This series details 4 cases of successful embolization of the distal radial artery for flow interruption to treat ischemic steal syndrome and salvage functional dialysis access. For radiocephalic arteriovenous fistulae complicated by steal syndrome, distal radial artery endovascular coil embolization is a valuable treatment strategy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arteriovenous Shunt, Surgical / adverse effects*
  • Embolization, Therapeutic* / instrumentation
  • Graft Occlusion, Vascular / diagnostic imaging
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / physiopathology
  • Graft Occlusion, Vascular / therapy*
  • Humans
  • Ischemia / diagnostic imaging
  • Ischemia / etiology
  • Ischemia / physiopathology
  • Ischemia / therapy*
  • Limb Salvage*
  • Male
  • Middle Aged
  • Radial Artery / diagnostic imaging
  • Radial Artery / physiopathology
  • Radial Artery / surgery*
  • Regional Blood Flow
  • Renal Dialysis*
  • Treatment Outcome
  • Upper Extremity / blood supply*
  • Vascular Patency
  • Veins / diagnostic imaging
  • Veins / physiopathology
  • Veins / surgery*