Distal Radial Artery Ligation For Treatment Of Steal Syndrome Associated With Radiocephalic Arteriovenous Fistula

Distal Radial Artery Ligation For Treatment Of Steal Syndrome Associated With Radiocephalic Arteriovenous Fistula

Author(s)

Mahmoud Tolba, Martin Maresch, and Dhafer Kamal

Abstract

 We present a case of dialysis associated steal syndrome in a hemodialysis patient with left radiocephalic arteriovenous fistula that caused him severe rest pain. Angiography showed retrograde flow from the ulnar artery to the distal radial artery through a hypertrophied palmar arch.

The problem was solved by surgical ligation of the distal radial artery leading to complete relief of patient symptoms without any notable complications.

Journal of Surgical Case Reports

https://doi.org/10.1093/jscr/rjaa314