Arterial steal syndrome. Definition

Medical Definition: arterial steal syndrome

Syndrome described in patients on dialysis, most often in diabetics and the elderly, and appears to be related to an accompanying obstructive arterial disease. Affected arm arteriovenous fistula and is characterized by pain, coldness, pallor of the hand, paresthesia, muscle involvement in the territory of the median nerve, increased on days of dialysis, the resistance to common analgesics, and appeared early after the construction of vascular access. Its occurrence is rare and involves late severe vascular blockages in the artery or pre posfístula. It should always make the differential diagnosis of carpal tunnel syndrome. The most effective treatment is prevention of theft, avoiding the construction of vascular access in patients without distal pulse, without prior evaluation of perfusion in patients with suspected arterial or arterial ligation previous failed fistula.

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