Survey Method of Vascular Surgery on the Onset of Ischemic Steal Syndrome Following Vascular Access in Dialysis Patients

Abstract

Background: Access to arteries is one of the most appropriate approaches for helping chronic kidney diseases. Objectives: The aim of the present study was to evaluate the survey method of vascular surgery on the onset of ischemic limb syndrome following vascular access in dialysis patients. Methods: In this cross-sectional study, the population study was patients with end-stage renal disease (ESRD) referring to Ahvaz Golestan Hospital in 2018. Control of limbs temperature and comparison with the other side, before and after surgery, feeling cold by the patient, control of organs pulse and comparison with the other side, pain of organs comparing to the other side, pain during the dialysis, paresthesia, and movement failure and during dialysis, and organs atrophy-ulcer were measured. Results: In the present study, 294 patients, including 139 women (46.94%) and 156 men (53.06%), were studied. Ischemic steal syndrome (ISS) was observed in 20 patients, that 13 cases of them had benefited from fistula approach and 7 patients used graft approach. The most common observed ISS was related to brachiocephalic fistula approach (AVF-Brachiocephalic) and then graft in arm. In non-steal syndrome group, brachiocephalic fistula (AVF-Brachiocephalic) had the most common application. In the present study, there was no significant correlation between access method and underlying diseases of high blood pressure, diabetes, and cardiac ischemic diseases. Conclusions: One of the most important results of the present study was the highest existence of steal syndrome in brachiocephalic approach, which is confirmed by other studies.