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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
 

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Strategies for predicting and treating access induced ischemic steal syndrome.

Access induced ischemia is an uncommon but devastating complication for patients maintained on hemodialysis. A number of clinical risk factors have been identified to select patients at risk. Intraoperative measurement of the digital-brachial index may further distinguish at-risk patients when the DBI is <0.45. Once clinically significant steal has developed, surgical strategies to treat this problem should ideally reverse the ischemia while maintaining uninterrupted access for hemodialysis. To date, the distal revascularization-interval ligation or DRIL procedure has been the most consistently successful tactic in achieving these dual objectives. A number of alternative strategies have recently been proposed and will be discussed.[1]

References

  1. Strategies for predicting and treating access induced ischemic steal syndrome. Tynan-Cuisinier, G.S., Berman, S.S. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. (2006) [Pubmed]
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