Yaghoubian Arezou, de Virgilio Christian
Division of Vascular Surgery, Department of Surgery, Harbor-UCLA Medical Center, Los Angeles, CA.
Ann Vasc Surg. 2009 Jan-Feb;23(1):103-7. doi: 10.1016/j.avsg.2008.08.009. Epub 2008 Sep 21.
Steal syndrome is an uncommon complication following hemodialysis access. Options for management include fistula ligation, banding, and distal revascularization with interval ligation (DRIL). Plication is another technique that is simple yet infrequently reported. We have adopted plication as the procedure of choice for steal syndrome following autologous arteriovenous fistula (AVF) creation. We report seven cases managed by plication. All had immediate resolution of symptoms (Table I). At follow-up, all AVFs were patent and continued to be used for hemodialysis. However, one patient experienced recurrence of symptoms and required re-plication. In conclusion, plication of the autologous AVF represents a simple alternative to the management of steal syndrome.
窃血综合征是血液透析通路术后一种不常见的并发症。治疗方案包括瘘管结扎、束带术以及带间隔结扎的远端血管重建术（DRIL）。折叠术是另一种操作简单但报道较少的技术。我们已将折叠术作为自体动静脉内瘘（AVF）术后窃血综合征的首选治疗方法。我们报告了7例采用折叠术治疗的病例。所有患者症状均立即缓解（表I）。随访时，所有AVF均保持通畅并继续用于血液透析。然而，1例患者症状复发，需要再次进行折叠术。总之，自体AVF折叠术是治疗窃血综合征的一种简单替代方法。
