Alternative prosthetic vascular access creation using subscapular artery as inflow to prevent dialysis access related steal syndrome.
10.4174/astr.2015.88.6.349
- Author:
Dan SONG
1
;
Sangchul YUN
Author Information
1. Department of Surgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. ultravascsurg@gmail.com
- Publication Type:Case Report
- Keywords:
Dialysis;
Ischemia;
Polytetrafluoroethylene
- MeSH:
Arteries*;
Dialysis*;
Female;
Follow-Up Studies;
Humans;
Ischemia;
Middle Aged;
Ocimum basilicum;
Polytetrafluoroethylene;
Skin;
Transplants;
Upper Extremity;
Veins
- From:Annals of Surgical Treatment and Research
2015;88(6):349-352
- CountryRepublic of Korea
- Language:English
-
Abstract:
In patients highly suspected of developing steal syndrome, the subscapular artery may be a good supplier for functional prosthetic arteriovenous access, as well as a good solution for the prevention of steal syndrome. A 51-year-old woman was preparing to have a loop shaped polytetrafluoroethylene (PTFE) graft placed at the left upper extremity. The diameter of subscapular the artery was 3 mm. Arterial calcification was not evident. The diameter of the basilic vein was 6 mm. A 50-cm long 4-7 mm tapered PTFE graft was placed in a loop shape between both skin incisions. The patient was uneventfully discharged at postoperative day 4 without any remaining steal syndrome. The PTFE graft was well-functioning during the follow-up period. The patient did not experience symptoms of steal syndrome any longer.
