Chemla Eric S, Tang Vincent C Y, Eyman Susan A
St George's Hospital NHS Trust, London, UK.
Ann Vasc Surg. 2007 Sep;21(5):645-7. doi: 10.1016/j.avsg.2007.03.028. Epub 2007 May 29.
Distal revascularization and interval ligation (DRIL) is currently one of the mainstay treatments for severe steal syndrome. However, when high inflow is the underlying cause, this technique does not fully address the problem. Here, we describe the use of intraoperative flow measurements using transit time ultrasound technology to help identify the cause of steal syndrome in a predialysis patient (no transonic surveillance) with a brachiocephalic fistula, who then was treated successfully by inflow reduction surgery using a bovine ureter graft. We believe that inflow reduction might be superior to DRIL in treating steal syndrome caused by high inflow and that transit time ultrasound might be helpful when transonic treatment is not possible.
远端血管重建与分期结扎术（DRIL）目前是重度窃血综合征的主要治疗方法之一。然而，当潜在病因是高血流量时，该技术并不能完全解决问题。在此，我们描述了在一名患有头臂动静脉内瘘的透析前患者（未进行跨音速监测）中，使用经渡越时间超声技术进行术中血流测量以帮助确定窃血综合征病因的情况，该患者随后通过使用牛输尿管移植物的血流量减少手术成功得到治疗。我们认为，在治疗由高血流量引起的窃血综合征时，血流量减少可能优于DRIL，并且在无法进行跨音速治疗时，经渡越时间超声可能会有所帮助。
