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

ABSTRACT

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.

KEYWORDS

DRIL - distal revascularization and interval ligation - dialysis - arterial steal - hand ischemia

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