Dialysis Access Steals and Leads to Limb Ischemia

Supraja Thunuguntla; Mohammed Rizwan; Jose Campo Maldonado

Case Report

Dialysis Access Steals and Leads to Limb Ischemia

Supraja Thunuguntla¹*, Mohammed Rizwan² and Jose Campo Maldonado³

¹Department of Internal Medicine, USA

²Department of Medicine, Bhaskar Medical College, India

³Department of Infectious Disease, Internal Medicine, School of Medicine, USA

Corresponding Author

Received Date: March 05, 2020; Published Date: April 24, 2020

Abstract

Dialysis Access Associated Steal Syndrome (DASS) reported incidence is low, (6.2%) [1]. Symptoms are dialysis induced hand pain, coldness, numbness, sensory loss which can lead to inevitable digital gangrene and amputation if the diagnosis is delayed. Duplex arterial ultrasound and electromyography (EMG) can help differentiate DASS from Ischemic monomelic neuropathy (IMN), a variation of DASS. Treatment options are individualized based on the location of the AV fistula, severity of presentation, presence of anatomical anomalies of involved vasculature. Comprehensive review of literature demonstrates this outcome of finger gangrene in young patients with ESRD is primarily associated with preexisting diffuse vascular disease [2].

Keywords: Dialysis Access Steal Syndrome; Ischemic monomelic neuropathy; Limb Ischemia; AV access

Keywords: DASS: Dialysis Access Steal Syndrome; EMG: Electromyography; IMN: Ischemic Monomeric Neuropathy; AV: Arteriovenous; ESRD: End-stage Renal Disease; ER: Emergency Room; PAI: Proximalization of Arterial Inflow

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