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KMID : 0361120130270040190
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Korean Journal of Transplantation
2013 Volume.27 No. 4 p.190 ~ p.193
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A Case of Ischemic Steal Syndrome in a Renal Transplantation Recipient
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Jung In-Sub
Choi Jong-Min
Yoon Hye-Jin
Yeo Yoo-Mi
Lee Sang-Ki
Lee Ji-Young
Kim Jeong-Eun
Oh Il-Hwan
Ahn Hee-Chang
Kang Chong-Myung
Park Joon-Sung
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Abstract
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Ischemic steal syndrome (ISS) is one of the serious complications that can occur after construction of an arteriovenous fistula (AVF) for hemodialysis (HD). Because AVF-related ISS symptoms are usually aggravated during HD sessions, a few cases of ISS in kidney transplantation (KT) recipients have been reported in the literature. We describe a 63-year-old male with diabetic nephropathy who created AVF for maintenance HD and presented with pain at rest and tissue necrosis of the left distal fingers at 10 years post-KT. Brachial angiography revealed the presence of attenuated blood flow through the distal ulnar artery. He underwent finger amputation and AVF ligation, leading to complete relief of ischemic symptoms. The aim of this case report is to help clinicians to diagnosis a steal syndrome in kidney transplantation with a careless AVF for a long period of time.
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KEYWORD
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Kidney transplantation, Steal syndrome, Arteriovenous fistula
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