Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259

Turkish Journal of Vascular Surgery 0 , Vol 0 , Issue 0
Treatment of Steal Syndrome in Patients With Arteriovenous Fistula: "Narrowing the Arterial part of the Anastomosis" Case Report
Okay Güven KARACA1,Ayşegül KUNT2,Ayşegül KOÇ1
1Department of Cardiovascular Surgery Duzce University Faculty of Medicine Duzce,
2Clinic of Cardiovascular Surgery İzmir Tepecik Traning and Research Hospital, İzmir
DOI : 10.9739/uvcd.2016-53563 If primary vascular access fails, secondary and tertiary vascular accesses in proximal sides are needed in patients who have hemodialysis due to end-stage renal disease. Unfortunately the risk of steal syndrome is higher if the vascular accesses is created in the proximal sides. Steal syndrome develops rarely, but it is a potentially devastating complication. In this study, we aimed to present two patients who were treated by narrowing the arterial part of the anastomosis. With the anastomotic narrowing technique that we used, the ischemic symptoms of the first patient regressed completely, and wound healing was observed after some time. The ischemic symptoms of our second patient regressed completely, and pain was lost. Both the patients' arteriovenous fistulas (AVF) were protected, and they had hemodialysis through those AVFs for 40 and 21 months, respectively. We suppose that the narrowing arterial part of the anastomosis under intraoperative color Doppler ultrasound guidance is a simple technique not requiring use of any foreign materials, and it may be effective in the patients with steal syndrome occurring due to a high flow rate and a large anastomosis, not due to peripheral arterial disease. Keywords : Arteriovenous fistula; hemofiltration; complications