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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2013 / Cilt: 21 - Sayı: 4

Ischemic syndrome due to distal hypoperfusion in hemodialysis arteriovenous fistulas

Hemodiyaliz amaçlı arteriyovenöz fistüllerde distal hipoperfüzyona bağlı iskemik sendrom

İsmail Oral HASTAOĞLU
Hakan PARLAR
Hamdi TOKÖZ
Fuat BİLGEN
Pages
936–943
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: We conclude that the continuity of dialysis can be highly sustained in patients with steal syndrome due to dialysis, maintaining the current arteriovenous fistulas through appropriate revision techniques.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: This study aims to evaluate the reasons for steal syndrome and preventive and therapeutic modalities.
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Key Findings & Data:Methods: Thirty-six patients (23 males, 13 females; mean age 58.3 years; 43 to 77 years) who were treated in our cardiovascular outpatient clinic between January 2012 and September 2012 were retrospectively analyzed.
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Conclusion & Impact:Conclusion: We conclude that the continuity of dialysis can be highly sustained in patients with steal syndrome due to dialysis, maintaining the current arteriovenous fistulas through appropriate revision techniques.
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

Background: This study aims to evaluate the reasons for steal syndrome and preventive and therapeutic modalities. Methods: Thirty-six patients (23 males, 13 females; mean age 58.3 years; 43 to 77 years) who were treated in our cardiovascular outpatient clinic between January 2012 and September 2012 were retrospectively analyzed. Results: Nineteen of the patients were diabetic (52.7%). Fistulas were located in the antecubital region in 21 patients (58.3%), while others were located in the distal forearm. We performed distal revascularization interval ligation in four patients (11.1%), banding in eight patients (22.2%), plication of anastomosis and dilated venous segment in four patients (11.1%), interposition of 6 mm PTFE graft in five patients (13.8%) and ligation of distal radial artery in eight patients (22.2%). Ligation of radial artery and lateral branches with banding was administered in four patients (11.1%). Three patients (8.3%) underwent revision surgery by using distal inflow. None of the patients had loss of thrill following the procedure. No catheter was required except for one patient. The mean follow-up was 10.9 months (range 1-28 months). The procedure failed in five patients (13.8%). The complaints were completely recovered in 31 patients. Conclusion: We conclude that the continuity of dialysis can be highly sustained in patients with steal syndrome due to dialysis, maintaining the current arteriovenous fistulas through appropriate revision techniques.

Özet

Amaç: Bu çalışmada çalma sendromunun nedenleri,önlenmesi ve tedavi yöntemleri değerlendirildi.Ça­lış­ma pla­nı: Hastanemiz kalp ve damar cerrahisi bölümünde 2008 Ocak - Eylül 2012 tarihleri arasında tedaviedilen 36 hasta (23 erkek, 13 kadın; ort. yaş 58.3 yıl; dağılım 43-77 yıl) retrospektif olarak incelendi. Bul­g u­l ar: Hastaların 19’u (%52.7) diyabetik idi.Fistüller 21 hastada (%58.3) antekübital bölgede yerleşimli iken, diğer fistüller ön kolda distal yerleşimli idi.Dört hastada (%11.1) distal revaskülarizasyon interval ligasyon, sekiz hastada (%22.2) banding, dört hastada (%11.1) anastomoz ve dilate ven segmenti plikasyonu, beş hastada (%13.8) 6 mm PTFE greft (4-6 cm boyunda)interpozisyonu ve sekiz hastada (%22.2) distal radialarter ligasyonu uygulandı. Dört hastada (%11.1) banding işlemi radial arter ve yan dal ligasyonları ile birlikteuygulandı. Üç hastada (%8.3) ise, distal giriş kullanılarak revizyon cerrahisi uygulandı. Hiçbir hastada işlemsonrası tril kaybı görülmedi. Bir hasta dışında kateter gereksinimi olmadı. Ortalama takip süresi 10.9 ay(dağılım 1-28 ay) olarak bulundu. Beş hastada (%13.8)işlem başarısız oldu. Otuz bir hastanın (%86.1) yakınmaları ise tam olarak düzeldi.So­nuç: Diyalize bağlı çalma sendromlarında uygun revizyon teknikleri ile hastaların mevcut arteriyovenöz fistülleri korunarak, yüksek oranda diyaliz devamlılığının sürdürülebileceğini düşünüyoruz.

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Cite This Article

HASTAOĞLU, İ. O., PARLAR, H., TOKÖZ, H., BİLGEN, F. (2022). Ischemic syndrome due to distal hypoperfusion in hemodialysis arteriovenous fistulas. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 21 - Sayı: 4, 936–943. https://ajindex.com/articles/424501

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