Surgical treatment of "steal syndrome" at hemodialysis vascular access with revascularization and distal artery ligation

• Autor(es):

  Linardi, Fábio (Pontifícia Universidade Católica de São Paulo. Centro de Ciências Médicas e Biológicas. Departamento de Cirurgia);

  Linardi, Felipe de Francisco (Universidade São Francisco. Faculdade de Medicina de Bragança Paulista);

  Bevilacqua, José Luís (Hospital Evangélico de Sorocaba. Unidade de Diálise);

  Morad, José Francisco Moron (Centro de Ciências Médicas e Biológicas. Departamento de Morfologia);

  Costa, José Augusto (PUCSP. Centro de Ciências Médicas e Biológicas. Departamento de Cirurgia).

• Fonte:

  Jornal Vascular Brasileiro; volume 5, número 2, páginas 117-122. Junho 2006.

• Assuntos:

  Vascular access;

  steal syndrome;

  hemodialysis;

  arteriovenous fistula.

• Resumo:

  OBJECTIVE: The authors report results for the surgical treatment of ischemic "steal syndrome" resulting from hemodialysis vascular access with distal revascularization-interval ligation procedure. METHODS: From December 2003 through November 2004, four patients with "steal syndrome" resulting from hemodialysis vascular access were submitted to distal revascularization-interval ligation and followed until December 2005. All four patients had rest pain and two developed ulcerations. RESULTS: All patients presented regression of symptoms, healing of ulcerations, and continued to use the same vascular access for hemodialysis. CONCLUSION: The authors conclude that the distal revascularization-interval ligation procedure is the treatment of choice for ischemic "steal syndrome", since it effectively treats the ischemic symptoms and maintains a functioning vascular access.

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