Proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligation
In the setting of ischemic steal syndrome with tissue loss, patients with radiocephalic fistulas have limited options to preserve their conduit and treat their ischemic symptoms. To address this, we have proposed the technique of proximalization through one incision of a wrist arteriovenous fistula...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246842872200199X |
| _version_ | 1797860203742363648 |
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| author | Andre Rafizadeh, MD Thomas Lee, MD Kevin James, MD Brian Wernick, MD |
| author_facet | Andre Rafizadeh, MD Thomas Lee, MD Kevin James, MD Brian Wernick, MD |
| author_sort | Andre Rafizadeh, MD |
| collection | DOAJ |
| description | In the setting of ischemic steal syndrome with tissue loss, patients with radiocephalic fistulas have limited options to preserve their conduit and treat their ischemic symptoms. To address this, we have proposed the technique of proximalization through one incision of a wrist arteriovenous fistula (POWR) with distal revascularization with interval ligation (DRIL) procedure. In the present retrospective, single-center, case series, we evaluated the outcomes of three patients with radiocephalic fistulas who had undergone POWR DRIL from 2017 to 2021. Their ischemic symptoms were monitored for regression. All three patients showed signs of regressing ischemia. The POWR DRIL represents an efficient procedure to address tissue loss and preserve the autogenous conduit. |
| first_indexed | 2024-04-09T21:41:58Z |
| format | Article |
| id | doaj.art-2b5dc57bf5194bd4ab679cbbd15275e0 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-09T21:41:58Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-2b5dc57bf5194bd4ab679cbbd15275e02023-03-26T05:17:35ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-03-0191101051Proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligationAndre Rafizadeh, MD0Thomas Lee, MD1Kevin James, MD2Brian Wernick, MD3Correspondence: Andre Rafizadeh, MD, Department of General Surgery, Morristown Medical Center, 100 Madison Ave, Morristown, NJ 07960; Department of Surgery, Morristown Medical Center, Morristown, NJDepartment of Surgery, Morristown Medical Center, Morristown, NJDepartment of Surgery, Morristown Medical Center, Morristown, NJDepartment of Surgery, Morristown Medical Center, Morristown, NJIn the setting of ischemic steal syndrome with tissue loss, patients with radiocephalic fistulas have limited options to preserve their conduit and treat their ischemic symptoms. To address this, we have proposed the technique of proximalization through one incision of a wrist arteriovenous fistula (POWR) with distal revascularization with interval ligation (DRIL) procedure. In the present retrospective, single-center, case series, we evaluated the outcomes of three patients with radiocephalic fistulas who had undergone POWR DRIL from 2017 to 2021. Their ischemic symptoms were monitored for regression. All three patients showed signs of regressing ischemia. The POWR DRIL represents an efficient procedure to address tissue loss and preserve the autogenous conduit.http://www.sciencedirect.com/science/article/pii/S246842872200199XDRILIschemic stealProximalizationRadiocephalic fistulaUlcer |
| spellingShingle | Andre Rafizadeh, MD Thomas Lee, MD Kevin James, MD Brian Wernick, MD Proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligation Journal of Vascular Surgery Cases and Innovative Techniques DRIL Ischemic steal Proximalization Radiocephalic fistula Ulcer |
| title | Proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligation |
| title_full | Proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligation |
| title_fullStr | Proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligation |
| title_full_unstemmed | Proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligation |
| title_short | Proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligation |
| title_sort | proximalization through one incision of a wrist arteriovenous fistula and distal revascularization with interval ligation |
| topic | DRIL Ischemic steal Proximalization Radiocephalic fistula Ulcer |
| url | http://www.sciencedirect.com/science/article/pii/S246842872200199X |
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