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Ultrasound
Diagnosis
Vascular
Extremities
Arteries
Hemodialysis Steal
Hemodialysis Steal
Daniel Childers, MD; Mark E. Lockhart, MD, MPH
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Steal phenomenon: Abnormal reversal of flow in artery distal to arteriovenous fistula (AVF) or arteriovenous graft (AVG)
            • Steal syndrome: Abnormal reversal of flow in artery distal to AVF or AVG with associated symptoms of ischemia

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    CLINICAL ISSUES

                    • Presentation

                      • Natural History & Prognosis

                        • Treatment

                          Selected References

                          1. AIUM practice parameter for the performance of ultrasound vascular mapping for preoperative planning of dialysis access. J Ultrasound Med. 35(9):1-10, 2016
                          2. Huber TS et al: Access-related hand ischemia and the hemodialysis fistula maturation study. J Vasc Surg. 64(4):1050-1058.e1, 2016
                          3. American College of Radiology (ACR) et al: AIUM practice guideline for the performance of a vascular ultrasound examination for postoperative assessment of dialysis access. J Ultrasound Med. 33(7):1321-32, 2014
                          4. Mascia S et al: Ischemic steal syndrome in a hemodialysis patient: the roles of Doppler ultrasonography and dynamic Doppler studies in diagnosis and treatment selection. J Ultrasound. 13(3):104-6, 2010
                          5. Malik J et al: Understanding the dialysis access steal syndrome. a review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access. 9(3):155-66, 2008
                          6. Valji K et al: Hand ischemia in patients with hemodialysis access grafts: angiographic diagnosis and treatment. Radiology. 196(3):697-701, 1995
                          7. Finlay DE et al: Duplex and color Doppler sonography of hemodialysis arteriovenous fistulas and grafts. Radiographics. 13(5):983-9, 1993
                          Related Anatomy
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                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Terminology

                            • Imaging

                              • Pathology

                                • Clinical Issues

                                  TERMINOLOGY

                                  • Definitions

                                    • Steal phenomenon: Abnormal reversal of flow in artery distal to arteriovenous fistula (AVF) or arteriovenous graft (AVG)
                                    • Steal syndrome: Abnormal reversal of flow in artery distal to AVF or AVG with associated symptoms of ischemia

                                  IMAGING

                                  • General Features

                                    • Ultrasonographic Findings

                                      • Imaging Recommendations

                                        DIFFERENTIAL DIAGNOSIS

                                          PATHOLOGY

                                          • General Features

                                            CLINICAL ISSUES

                                            • Presentation

                                              • Natural History & Prognosis

                                                • Treatment

                                                  Selected References

                                                  1. AIUM practice parameter for the performance of ultrasound vascular mapping for preoperative planning of dialysis access. J Ultrasound Med. 35(9):1-10, 2016
                                                  2. Huber TS et al: Access-related hand ischemia and the hemodialysis fistula maturation study. J Vasc Surg. 64(4):1050-1058.e1, 2016
                                                  3. American College of Radiology (ACR) et al: AIUM practice guideline for the performance of a vascular ultrasound examination for postoperative assessment of dialysis access. J Ultrasound Med. 33(7):1321-32, 2014
                                                  4. Mascia S et al: Ischemic steal syndrome in a hemodialysis patient: the roles of Doppler ultrasonography and dynamic Doppler studies in diagnosis and treatment selection. J Ultrasound. 13(3):104-6, 2010
                                                  5. Malik J et al: Understanding the dialysis access steal syndrome. a review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access. 9(3):155-66, 2008
                                                  6. Valji K et al: Hand ischemia in patients with hemodialysis access grafts: angiographic diagnosis and treatment. Radiology. 196(3):697-701, 1995
                                                  7. Finlay DE et al: Duplex and color Doppler sonography of hemodialysis arteriovenous fistulas and grafts. Radiographics. 13(5):983-9, 1993