Brachial-ulnar Artery Bypass for Treating Ischemic Steal Syndrome: Report of A Case

ABSTRACT

Ischemic steal syndrome is an uncommon, but horrible complication of vascular access surgery, and this malady is manifested by paresthesia, weakness, pallor, pain, ulceration and tissue loss in the severe cases. Because peripheral ischemic steal syndrome can develop by any or a combination of the several mechanisms (retrograde flow, arterial stenosis, very-high fistula flow, distal arteriopathy), the treatment should be based on a detail history, physical examination and appropriate evaluations that include a complete angiogram. We report here on a 50-year-old woman with ischemic finger ulcers after she underwent hemodialysis access surgery, and she was successfully treated by a brachial-ulnar bypass with using a saphenous vein graft.