In this article, we will review the clinical symptoms of dialysis access
steal syndrome (DASS), evaluation, treatment options, and our approach and
treatment algorithm.
Methods
We reviewed the literature discussing different aspects of DASS including its
epidemiology, pathogenesis, clinical presentation, evaluation and management
options.
Results
DASS is the most dreaded complication of access surgery. Although the
incidence is low, all providers caring for dialysis patients should be aware
of this problem. Symptoms can range from mild to limb threatening. Although
various tests are available, the diagnosis of DASS remains a clinical one
and requires thoughtful management to have the best outcomes.
Conclusions
Multiple treatment options exist for steal. We present diagnostic evaluation
and management algorithm.
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