Henriksson A E, Bergqvist D
Department of Surgery, Sundsvall County Hospital, Sweden.
J Vasc Access. 2004 Jan-Mar;5(1):13-5. doi: 10.1177/112972980400500103.
Steal syndrome is the condition of arterial insufficiency distal to a permanent haemodialysis fistula. Three treatment options have been recommended: ligation of the fistula, banding of the fistula, and distal revascularization. We report an alternative simple surgical technique for correction of steal syndrome.
Two patients were treated for steal syndrome after brachiocephalic fistula operation. The treatment of the steal syndrome was done by interponating an ePTFE graft loop tunnelated subcutaneously in the upper arm.
At follow-up one year later both fistula were patent without any reoperation and with normal flow at haemodialysis. There were no symptoms of steal.
This new method for correction of steal syndrome seems to be an attractive alternative.
窃血综合征是永久性血液透析动静脉内瘘远心端动脉供血不足的一种病症。已推荐三种治疗方案：结扎内瘘、绑扎内瘘和远心端血管重建。我们报告一种用于矫正窃血综合征的替代性简单手术技术。
两名患者在肱头动静脉内瘘手术后接受了窃血综合征治疗。通过在上臂皮下置入一条带隧道的聚四氟乙烯人工血管环来治疗窃血综合征。
一年后随访发现，两个内瘘均通畅，无需再次手术，血液透析时血流正常。无窃血症状。
这种矫正窃血综合征的新方法似乎是一种有吸引力的替代方案。
