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Updated: Feb 25, 2026
08:39
A Murine Model of Hemodialysis Access-Related Hand Dysfunction
Published on: May 31, 2022
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Dialysis access-associated steal syndromes.
Indrani Sen1, Ramesh K Tripathi2
1Division of Vascular and Endovascular Surgery, Christian Medical College, Vellore, India.
Seminars in Vascular Surgery
|August 7, 2017
Summary
Dialysis access steal syndrome can cause hand ischemia in up to 20% of patients. While often manageable without surgery, severe cases risk limb amputation if untreated.
Area of Science:
- Vascular Surgery
- Nephrology
- Radiology
Background:
- Symptomatic hand ischemia occurs in 20% of patients after upper-extremity dialysis access procedures.
- Dialysis access steal syndrome is a frequent cause of postoperative complications in end-stage renal disease patients.
- Untreated severe ischemia can lead to limb amputation.
Purpose of the Study:
- To review patient risk factors for dialysis access steal syndrome.
- To discuss clinical presentation and diagnostic techniques.
- To outline management options for dialysis access steal syndrome.
Main Methods:
- Literature review of symptomatic hand ischemia and dialysis access.
- Analysis of patient risk factors, clinical presentation, and diagnostic methods.
- Evaluation of surgical and non-surgical management strategies.
Main Results:
- Majority of cases do not require surgical intervention.
- Severe ischemia with muscle paralysis presents a significant risk.
- Early diagnosis and appropriate management are crucial.
Conclusions:
- Dialysis access steal syndrome is a significant concern in patients with end-stage renal disease.
- A comprehensive approach including risk factor identification, diagnostics, and tailored management is essential.
- Timely intervention can prevent severe complications like limb amputation.
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