A Case of Ischemic Steal Syndrome in a Renal Transplantation Recipient.
10.4285/jkstn.2013.27.4.190
- Author:
In Sub JUNG
1
;
Jong Min CHOI
;
Hye Jin YOON
;
Yoomi YEO
;
Sang Ki LEE
;
Ji Young YHI
;
Jeong Eun KIM
;
Il Hwan OH
;
Hee Chang AHN
;
Chong Myung KANG
;
Joon Sung PARK
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. sjpjoon@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Kidney transplantation;
Steal syndrome;
Arteriovenous fistula
- MeSH:
Amputation;
Angiography;
Arteriovenous Fistula;
Diabetic Nephropathies;
Diagnosis;
Fingers;
Humans;
Kidney Transplantation*;
Ligation;
Male;
Middle Aged;
Necrosis;
Renal Dialysis;
Ulnar Artery
- From:The Journal of the Korean Society for Transplantation
2013;27(4):190-193
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ischemic steal syndrome (ISS) is one of the serious complications that can occur after construction of an arteriovenous fistula (AVF) for hemodialysis (HD). Because AVF-related ISS symptoms are usually aggravated during HD sessions, a few cases of ISS in kidney transplantation (KT) recipients have been reported in the literature. We describe a 63-year-old male with diabetic nephropathy who created AVF for maintenance HD and presented with pain at rest and tissue necrosis of the left distal fingers at 10 years post-KT. Brachial angiography revealed the presence of attenuated blood flow through the distal ulnar artery. He underwent finger amputation and AVF ligation, leading to complete relief of ischemic symptoms. The aim of this case report is to help clinicians to diagnosis a steal syndrome in kidney transplantation with a careless AVF for a long period of time.
