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Banding between dialysis puncture sites to treat severe ischemic steal syndrome in low flow autogenous arteriovenous access  David Shemesh, MD, Ilya Goldin,

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Presentation on theme: "Banding between dialysis puncture sites to treat severe ischemic steal syndrome in low flow autogenous arteriovenous access  David Shemesh, MD, Ilya Goldin,"— Presentation transcript:

1 Banding between dialysis puncture sites to treat severe ischemic steal syndrome in low flow autogenous arteriovenous access  David Shemesh, MD, Ilya Goldin, MD, Oded Olsha, MBBS  Journal of Vascular Surgery  Volume 52, Issue 2, Pages (August 2010) DOI: /j.jvs Copyright © 2010 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Algorithm describing selection of patients with dialysis-associated steal syndrome (DASS) for banding between puncture sites. †DRIL, Distal revascularization-proximal ligation; *DUS, Doppler ultrasound; *PAI, proximalization of the arterial inflow. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Angiography demonstrates a deliberately constructed narrow anastomosis (arrowhead) to prevent steal in a patient who nevertheless developed steal that was subsequently treated by banding between the puncture sites (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

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