Double Plication of Basilic Vein of Brachial-Basilic Arteriovenous Fistula as Effective Treatment for Dialysis Related Steal Syndrome (DRESS) : A Case Report
Ketut Putu Yasa
Thorax Cardiac Vascular and Endovascular Surgery Division, Department of Surgery, Udayana University / Sanglah General Hospital, Denpasar, Bali, Indonesia
Corresponding Author E-mail : ketut.putuyasa07@gmail.com
Abstract: Dialysis Related Steal Syndrome (DRESS) is one of the most terrible complications of arteriovenous fistula (AVF) creation that can produce hand ischemia. There are several methods to treat DRESS suitable regarding to the causes and conditions. DRESS present in a male 57 years old, with chief complain complain numbness and pain at rest on finger 4th and 5th left hand, weakness on hand grip after 2 weeks left brachial-basilic AVF creation for hemodialysis access. Physical examination there was found absent distal pulse of radial and ulnar artery, coldness on palmar and dorsal hand. Angiogram revealed preferential blood flow to brachio-basilic AVF access was detected with relative enlarge size of basilic vein without adequate blood flow to distal artery below the AVF. Double plication of basilic vein near the anastomosis brachial-basilic AVF was performed. Immediate gradual symptom resolution after plication and complete resolution was achieve in 1 month postoperative. Double plication of basilica vein of brachio-basilic AVF is effective treatment for DASS
Keywords: AVF; Dialysis Access; Plication; Steal Syndrome Back to TOC