Medicine:Revision using distal inflow

From HandWiki
Short description: Surgical treatment

Revision Using Distal Inflow (RUDI) is a surgical treatment for Dialysis-associated Steal Syndrome. RUDI was first proposed by David J. Minion and colleagues in 2005. In the procedure, the fistula is ligated at a location slightly proximal to the anastomosis. A bypass to the venous outflow is then created from a distal arterial source.[1]

In a review of a three studies on the efficacy of the technique, RUDI was shown to provide good patency (80%-100%) and 100% symptom resolution.[2]

References

  1. "Revision using distal inflow: a novel approach to dialysis-associated steal syndrome.". Ann Vasc Surg 19 (5): 625–8. 2005. doi:10.1007/s10016-005-5827-7. PMID 16052391. 
  2. "Dialysis-associated steal syndrome (DASS)". J Vasc Access 18: 68-73. 2017. doi:10.5301/jva.5000684.