Analysis of options for mitigating hemodialysis access-related ischemic steal phenomena.

  title={Analysis of options for mitigating hemodialysis access-related ischemic steal phenomena.},
  author={Wayne S Gradman and Costantine Pozrikidis},
  journal={Annals of vascular surgery},
  volume={18 1},
Steal phenomena associated with brachial bridge grafts for hemodialysis access may compromise blood flow to the forearm. This work is designed to investigate and compare, by means of a simple mathematical model, the potential of six surgical procedures to alleviate steal. A flow model based on an electrical analogue was developed. An untapered 6-mm prosthetic brachial-axillary access (PBAA) was selected as the prototype configuration, and the theoretical effect of six access modifications on… CONTINUE READING
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