An unusual complication following surgical banding procedure for steal syndrome: band migration and sudden arteriovenous fistula aneurysm formation

2017 ◽  
Vol 18 (3) ◽  
pp. e31-e32 ◽  
Author(s):  
Ismail Oral Hastaoglu ◽  
Hamdi Tokoz ◽  
Ayca Ozgen ◽  
Fuat Bilgen
2020 ◽  
Vol 3 (2) ◽  
pp. 147-150
Author(s):  
Kaczynski RE ◽  
Asaad Y ◽  
Valentin-Capeles N ◽  
Battista J

We discuss a case of a 58 year old male who presented for left upper extremity steal syndrome including ischemic monomelic neuropathy (IMN) 1.5 months after arteriovenous fistula creation. He presented after three surgical attempts to salvage his fistula with rest pain, complete loss of function with contracture of the 4th and 5th digits, and loss of sensation in the ulnar distribution for more than three weeks. At our institution, he underwent surgical ligation of the distal fistula and creation of a new fistula proximally, resulting in complete resolution of his vascular steal symptoms almost immediately despite the chronicity prior to surgical presentation. Our patient provides a unique perspective regarding dialysis access salvage versus patient quality of life. The patients’ functional status and pain levels should take precedence over salvage of an arteriovenous access site, and early ligation of the access should be completed prior to chronic IMN development. However, if a patient presents late along the IMN course, we recommend strong consideration of access ligation in order to attempt to regain the full neurovascular function of the extremity as we experienced in our patient.


2017 ◽  
Vol 18 (2) ◽  
pp. e20-e21 ◽  
Author(s):  
Usman K. Hayat ◽  
Aurang Z. Khawaja ◽  
Robert G. Jones ◽  
Nicholas G. Inston

2012 ◽  
Vol 59 (7) ◽  
pp. 1302-1304 ◽  
Author(s):  
Ching Ching Chan ◽  
Vincent Lee ◽  
Winnie Chu ◽  
Yuk Him Tam ◽  
Chi Kong Li ◽  
...  

2009 ◽  
Vol 14 (4) ◽  
pp. 371-376 ◽  
Author(s):  
Payman Zamani ◽  
James Kaufman ◽  
Scott Kinlay

1991 ◽  
Vol 5 (5) ◽  
pp. 583-586 ◽  
Author(s):  
Mehmet Ali Bedirhan ◽  
Ertan Onursal ◽  
Cemil Barlas ◽  
Dilek Yilmazbahan

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