Semin intervent Radiol 2009; 26(2): 125-129
DOI: 10.1055/s-0029-1222456
© Thieme Medical Publishers

Distal Revascularization and Interval Ligation: A Primer for the Vascular and Interventional Radiologist

Sidney Regalado1 , Rakesh Navuluri1 , Eric Vikingstad2
  • 1Section of Vascular and Interventional Radiology, University of Chicago Medical Center, Chicago, Illinois
  • 2Pritzker School of Medicine, University of Chicago, Chicago, Illinois
Further Information

Publication History

Publication Date:
29 June 2009 (online)


Dialysis-associated steal syndrome is a clinically significant complication associated with the creation of dialysis grafts or fistulae. The distal revascularization and interval ligation (DRIL) procedure is a surgical procedure, which has been used to treat patients with hand ischemia secondary to arterial “steal” from dialysis accesses. This article will review the dialysis-associated steal syndrome and the history, anatomy, and clinical results of the DRIL procedure.


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Sidney RegaladoM.D. 

Section of Vascular and Interventional Radiology, University of Chicago Medical Center

5841 S. Maryland Avenue, MC 2026, Chicago, IL 60637