Brescia-Cimino AV-fistula complicated by steal syndrome

The Brescia-Cimino arteriovenous fistula (AVF) is the preferred method of providing vascular access for hemodialysis in patients with end-stage renal disease .1 Although uncommon, the dialysis access steal syndrome (DASS) can present as a serious complication of an arteriovenous fistula, characterized by flow dynamic complications that lead to an excess perfusion of the AVF and ischemia of the hand.2 It is frequently associated with the brachial artery fistula which has an incidence rate of 5%.3 Even rarer, however, is its occurrence in the forearm, with incidence rates of 0.25-1.8%.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research