Distal revascularization-interval ligation: a durable and effective treatment for ischemic steal syndrome after hemodialysis access.

@article{Knox2002DistalRL,
  title={Distal revascularization-interval ligation: a durable and effective treatment for ischemic steal syndrome after hemodialysis access.},
  author={Robert C. Knox and Scott Berman and John D. Hughes and Andrew T Gentile and Joseph L R Mills},
  journal={Journal of vascular surgery},
  year={2002},
  volume={36 2},
  pages={250-5; discussion 256}
}
PURPOSE The treatment of hemodialysis access-induced ischemic steal syndrome is challenging. Despite promising early results with the distal revascularization-interval ligation (DRIL) procedure, the operation has not been widely adopted because of concerns about its complexity and long-term efficacy. The purpose of this report was to determine the efficacy and durability of the DRIL procedure in relieving hand ischemia and in maintaining access patency in the setting of hemodialysis access… CONTINUE READING

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