MANAGEMENT OF ISCHEMIC STEAL IN AV ACCESS - A CASE REPORT REVIEW OF LITERATURE

Ischemic steal syndrome (ISS) associated with arteriovenous (AV) access is rare but has the potential to result in severe complications. Distal revascularization and interval ligation (DRIL) is a surgical procedure, which has been used to treat such patients with ischemia secondary to arterial steal from dialysis accesses. Here we present the case details of a young girl who developed steal symptoms in the left upper limb after left brachiocephalic fistula creation and was successfully managed with DRIL procedure. We also review the literature regarding the incidence of ISS after AV access and outcomes of DRIL for its management.