Revascularization of Dialysis AVFs

Distal revascularization-interval ligation (DRIL) empirically corrects steal after arteriovenous fistula (AVF) creation in most cases.

What is Revascularization of Dialysis AVFs?

Dialysis-associated steal syndrome occurs when distal arterial ischemic symptoms develop secondary to the placement of arteriovenous grafts or fistulas. … The distal revascularization interval ligation (DRIL) procedure has quickly become a desirable treatment option for dialysis-associated arterial steal syndrome.

The arteriovenous fistula (AVF) dysfunction is a common reason for vascular access problem in chronically hemodialyzed patients. It is caused by stenosis or occlusion located either in inflow artery, anastomosis or outflow vein. Revascularization of these pathologies can be achieved in surgical or endovascular (PTA) manner.

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