Abbas Saroukhani1, Aryan Rafiee Zadeh2, Seyed-Masoud-Reza Ahmadi1. 1. Department of Surgery, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran. 2. School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.
Abstract
BACKGROUND: Renal failure is one of the dangerous chronic diseases that different solutions are used for dialysis in these patients. Arteriovenous graft (AVG) and arteriovenous fistula (AVF) are two communication methods for dialysis in these patients, associated with pain, sensory and Pulse disturbances, and even limb necrosis. Using cubital AVF and AVG for hemodialysis is a critical issue in vascular surgery. Arterial steal syndrome is an essential medical condition requiring surgical interventions. In this research project, we decided to measure the incidence of steal syndrome among AVF and AVG patients and compare them with each other. METHODS: This cohort study was performed in Al-Zahra Hospital, Isfahan, Iran, from 2018 to 2020. Two hundred one patients undergoing AVF or AVG were included, and patients were followed for six months. The frequency of pain symptoms, anesthesia and pulse disorders, necrosis of the limbs, and the frequency of steal syndrome were assessed. RESULTS: Among the studied patients, 2 cases in the AVF group and 10 cases in the AVG group had steal syndrome, and there was a significant difference between the two groups based on the frequency of steal syndrome (P=0.007). Also, there was a considerable difference between the two groups based on the pulse disorder (P<0.05), but there was no significant difference between the two groups in terms of symptoms of sensory impairment, pain, and evidence of necrosis (P>0.05). CONCLUSION: AVF technique is better than AVG in creating symptoms of steal syndrome, and also, the number of symptoms such as pulse disorder was relatively less seen in the AVF method. IJBT
BACKGROUND: Renal failure is one of the dangerous chronic diseases that different solutions are used for dialysis in these patients. Arteriovenous graft (AVG) and arteriovenous fistula (AVF) are two communication methods for dialysis in these patients, associated with pain, sensory and Pulse disturbances, and even limb necrosis. Using cubital AVF and AVG for hemodialysis is a critical issue in vascular surgery. Arterial steal syndrome is an essential medical condition requiring surgical interventions. In this research project, we decided to measure the incidence of steal syndrome among AVF and AVG patients and compare them with each other. METHODS: This cohort study was performed in Al-Zahra Hospital, Isfahan, Iran, from 2018 to 2020. Two hundred one patients undergoing AVF or AVG were included, and patients were followed for six months. The frequency of pain symptoms, anesthesia and pulse disorders, necrosis of the limbs, and the frequency of steal syndrome were assessed. RESULTS: Among the studied patients, 2 cases in the AVF group and 10 cases in the AVG group had steal syndrome, and there was a significant difference between the two groups based on the frequency of steal syndrome (P=0.007). Also, there was a considerable difference between the two groups based on the pulse disorder (P<0.05), but there was no significant difference between the two groups in terms of symptoms of sensory impairment, pain, and evidence of necrosis (P>0.05). CONCLUSION: AVF technique is better than AVG in creating symptoms of steal syndrome, and also, the number of symptoms such as pulse disorder was relatively less seen in the AVF method. IJBT
Authors: Vernon D Horst; Peter R Nelson; Alexandros Mallios; Kelly Kempe; Viraj Pandit; Hyein Kim; William C Jennings Journal: J Vasc Access Date: 2020-07-25 Impact factor: 2.283
Authors: Charmaine E Lok; Thomas S Huber; Timmy Lee; Surendra Shenoy; Alexander S Yevzlin; Kenneth Abreo; Michael Allon; Arif Asif; Brad C Astor; Marc H Glickman; Janet Graham; Louise M Moist; Dheeraj K Rajan; Cynthia Roberts; Tushar J Vachharajani; Rudolph P Valentini Journal: Am J Kidney Dis Date: 2020-03-12 Impact factor: 8.860
Authors: Sanjiv J Shah; Ted Feldman; Mark J Ricciardi; Rami Kahwash; Scott Lilly; Sheldon Litwin; Chris D Nielsen; Pim van der Harst; Elke Hoendermis; Martin Penicka; Jozef Bartunek; Peter S Fail; David M Kaye; Anthony Walton; Mark C Petrie; Niki Walker; Anupam Basuray; Steven Yakubov; Scott L Hummel; Stanley Chetcuti; Rhondalyn Forde-McLean; Howard C Herrmann; Daniel Burkhoff; Joseph M Massaro; John G F Cleland; Laura Mauri Journal: JAMA Cardiol Date: 2018-10-01 Impact factor: 14.676