Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000200015
Jornal Vascular Brasileiro
Case Report

Tratamento da síndrome de roubo de fístula arteriovenosa pela técnica de revascularização distal e ligadura arterial: relato de três casos

Treatment of hemodialysis access steal syndrome by distal revascularization arterial ligature: report of three cases

Afonso César Polimanti; Sidnei José Galego; Rafael Vilhena de Carvalho Fürst; Gabriela da Silveira Moraes; Rafael Camacho da Silva Barbosa; Sônia Regina Silveira; Maria do Carmo Silva Neves Kawhage; João Antônio Correa

http://dx.doi.org/10.1590/S1677-54492012000200015 J Vasc Bras, vol.11, n2, p.158-161, 2012
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Resumo

Fístulas arteriovenosas para hemodiálise podem apresentar complicações a longo prazo. Entre as complicações mais raras, há a isquemia distal por síndrome de roubo. Os autores relataram a experiência de três casos de pacientes portadores de fístulas braquiocefálicas, em funcionamento por longo prazo e que evoluíram com isquemia crítica do membro, sem resposta com tratamento clínico. Com o intuito de tratar esta afecção e preservar o acesso vascular, optou-se pela realização da revascularização distal interposta por ligadura arterial. Devido à raridade dos casos, relatou-se a experiência e apresentou-se uma revisão de literatura.

Palavras-chave

derivação arteriovenosa cirúrgica, isquemia, hemodiálise, fístula arteriovenosa, terapêutica

Abstract

Arteriovenous fistulas for hemodialysis may present long-term complications. Among the least frequent complications, there is the steal syndrome. The authors report the experience of three patients that presented with critical limb ischemia years after the access confection of brachiocephalic arteriovenous fistulas, with little response to clinical treatment. Distal revascularization interval ligation was performed in all cases, with good outcome. Due to small quantity of the cases, we decided to report the experience and review the literature on the subject.

Keywords

arteriovenous shunt, ischemia, hemodialysis, arteriovenous fistula, therapeutic

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