Distal Revascularization-Interval Ligation (DRIL) Procedure For Ischemic Steal Syndrome (ISS) After Arteriovenous Fistula Placement

Abstract:

Ischemic steal syndrome (ISS) is an uncommon complication of arteriovenous (AV) access placement. Distal revascularization interval ligation (DRIL) is an alternative to preserve AV access and resolve ISS simultaneously. This case illustrates the problem of ISS and tissue loss, and its successful treatment after undergoing the DRIL procedure. Other options for management of ISS also are reviewed.

Authors:

Ryan S. Jean-Baptiste - Yale University School of Medicine, New Haven, Connecticut; Vivian Gahtan, M.D., Yale University School of Medicine, Department of Surgery, New Haven, Connecticut

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