Abstract
Steal syndrome is a rare and difficult problem associated with fistula creation. There are several modalities in the literature discussing management of fistulas with steal syndrome. The most common of these include banding, distal revascularization with interval ligation procedures, proximalization of arterial inflow, and revision using distal inflow procedures. Although all of these procedures have been shown to work, they all have a significant failure rate, such as persistent steal or loss of access. One of the limitations of all of these techniques is that there are no quantitative data gathered during the procedure to ensure success of treatment. We propose a novel method for banding of fistulas to improve the success of this process by obtaining a distal arterial pressure during the banding process. https://www.jvascsurg.org/cms/asset/54d58bd1-ecaa-49bd-bea3-aeeaca3ae125/mmc1.mp4Loading ... Download .mp4 (137.81 MB) Help with .mp4 files Video
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