Distal brachial artery embolization for the treatment of dialysis access steal syndrome
Dialysis access steal syndrome (DASS), first reported in 1969, describes arterial insufficiency occurring after the creation of an arteriovenous (AV) anastomosis for dialysis access Storey et al. (1969). The overall incidence of symptomatic steal syndrome ranges from 0.25% to 1.8% in forearm autogen...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687822000927 |
| _version_ | 1797788343797284864 |
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| author | Brian M. Leoce Helen S. Wei Steven M. Hadley, Jr. Kevin Z. Molnar Joe T. Huang Michael A. Curi |
| author_facet | Brian M. Leoce Helen S. Wei Steven M. Hadley, Jr. Kevin Z. Molnar Joe T. Huang Michael A. Curi |
| author_sort | Brian M. Leoce |
| collection | DOAJ |
| description | Dialysis access steal syndrome (DASS), first reported in 1969, describes arterial insufficiency occurring after the creation of an arteriovenous (AV) anastomosis for dialysis access Storey et al. (1969). The overall incidence of symptomatic steal syndrome ranges from 0.25% to 1.8% in forearm autogenous AV access, with a higher incidence in prosthetic AV access (Morsy et al., 1998; Padberg et al., 2008). Severe DASS symptoms are more likely to occur with brachial artery AV access, with a reported incidence of 4 to 9% (Padberg et al., 2008). Endovascular treatment of DASS in radial artery-based access has been described using coil embolization of the radial artery distal to the AV anastomosis (Plumb et al., 2008; Shukla et al., 2012; Miller et al., 2008; Alabi et al., 2016). Despite its reported successes for the treatment of forearm access related DASS, coil embolization for the treatment of steal syndrome associated with brachial artery dialysis access has not been reported. Here we describe the first three cases of DASS successfully treated with coil embolization of the distal brachial artery. All patients experienced complete resolution of their symptoms and remain with the functional AV access. All patients have consented to the publication and presentation of their case. |
| first_indexed | 2024-03-13T01:35:13Z |
| format | Article |
| id | doaj.art-bac7b6c0f9c040db9f81c9abfd82736d |
| institution | Directory Open Access Journal |
| issn | 2772-6878 |
| language | English |
| last_indexed | 2024-03-13T01:35:13Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj.art-bac7b6c0f9c040db9f81c9abfd82736d2023-07-04T05:11:56ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782022-12-0124100132Distal brachial artery embolization for the treatment of dialysis access steal syndromeBrian M. Leoce0Helen S. Wei1Steven M. Hadley, Jr.2Kevin Z. Molnar3Joe T. Huang4Michael A. Curi5Department of Surgery, Division of Vascular Surgery, Rutgers New Jersey Medical School, United StatesDepartment of Surgery, Division of Vascular Surgery, Rutgers New Jersey Medical School, United StatesDepartment of Surgery, Division of Vascular Surgery, Rutgers New Jersey Medical School, United StatesDepartment of Surgery, Division of Vascular Surgery, Rutgers New Jersey Medical School, United StatesDepartment of Surgery, Division of Vascular Surgery, Rutgers New Jersey Medical School, United StatesCorresponding author.; Department of Surgery, Division of Vascular Surgery, Rutgers New Jersey Medical School, United StatesDialysis access steal syndrome (DASS), first reported in 1969, describes arterial insufficiency occurring after the creation of an arteriovenous (AV) anastomosis for dialysis access Storey et al. (1969). The overall incidence of symptomatic steal syndrome ranges from 0.25% to 1.8% in forearm autogenous AV access, with a higher incidence in prosthetic AV access (Morsy et al., 1998; Padberg et al., 2008). Severe DASS symptoms are more likely to occur with brachial artery AV access, with a reported incidence of 4 to 9% (Padberg et al., 2008). Endovascular treatment of DASS in radial artery-based access has been described using coil embolization of the radial artery distal to the AV anastomosis (Plumb et al., 2008; Shukla et al., 2012; Miller et al., 2008; Alabi et al., 2016). Despite its reported successes for the treatment of forearm access related DASS, coil embolization for the treatment of steal syndrome associated with brachial artery dialysis access has not been reported. Here we describe the first three cases of DASS successfully treated with coil embolization of the distal brachial artery. All patients experienced complete resolution of their symptoms and remain with the functional AV access. All patients have consented to the publication and presentation of their case.http://www.sciencedirect.com/science/article/pii/S2772687822000927Dialysis Access Steal SyndromeEmbolization |
| spellingShingle | Brian M. Leoce Helen S. Wei Steven M. Hadley, Jr. Kevin Z. Molnar Joe T. Huang Michael A. Curi Distal brachial artery embolization for the treatment of dialysis access steal syndrome Annals of Vascular Surgery - Brief Reports and Innovations Dialysis Access Steal Syndrome Embolization |
| title | Distal brachial artery embolization for the treatment of dialysis access steal syndrome |
| title_full | Distal brachial artery embolization for the treatment of dialysis access steal syndrome |
| title_fullStr | Distal brachial artery embolization for the treatment of dialysis access steal syndrome |
| title_full_unstemmed | Distal brachial artery embolization for the treatment of dialysis access steal syndrome |
| title_short | Distal brachial artery embolization for the treatment of dialysis access steal syndrome |
| title_sort | distal brachial artery embolization for the treatment of dialysis access steal syndrome |
| topic | Dialysis Access Steal Syndrome Embolization |
| url | http://www.sciencedirect.com/science/article/pii/S2772687822000927 |
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