The purposes of this study were to examine potential causes for @entity3526 in @entity1 with hemodialysis shunts and to evaluate the results of treatment. A retrospective analysis was performed on all hemodialysis @entity1 who presented with @entity3526 over a 3-year period. Medical records were reviewed to determine demographic data, time to development of symptoms, operative details, and treatment outcome. Results of @entity2045 arteriography in the last five @entity1 were also documented. Eighteen @entity1 presented with @entity3526 at a mean of 7(4) months after shunt placement. Four @entity1 had prior ipsilateral grafts. Fifteen (83%) @entity1 had forearm shunts in loop configuration between the main brachial artery and a superficial vein, and three had straight upper-arm shunts. Graft sizes were 6 mm in five @entity1 and 4- to 7 step grafts in 13. Graft banding was used to treat steal in 11 shunts, one of which remained patent. All five @entity1 who underwent @entity2045 arteriography had arterial stenoses demonstrated in the inflow circulation. In conclusion, arterial steal is an uncommon complication of hemodialysis shunts. Shunt location and choice of graft do not appear to be major factors: steal can develop regardless of access site, configuration, or use of straight versus step graft. Banding is an ineffective method of treatment. Arteriography may be important to detect unsuspected inflow stenoses in @entity1 with @entity3526 .

XXXX complicating hemodialysis access.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2045 :: ('MESH:D009207', 'Disease') :: ['upper-extremity'] @entity3526 :: ('MESH:D013349', 'Disease') :: ['steal syndrome', 'arterial steal syndrome']
@entity3526 :: (MESH:D013349,Disease) :: ['Steal syndrome']
