Work

Distal revascularization and interval ligation for femoral arteriovenous graft steal syndrome

Year: 2026

Type: article

Abstract: Patients with end-stage renal disease and exhausted upper extremity options may require lower extremity arteriovenous grafts (AVGs) for hemodialysis access. We present a 62-year-old woman with a right superficial femoral artery-femoral vein looped AVG who developed limb-threatening ischemia secondary to steal syndrome. A distal revascularization and interval ligation procedure, using an external iliac-to-distal superficial femoral artery bypass with interval ligation, successfully restored perfusion while preserving access. The patient's ischemic symptoms resolved, and both AVG and bypass remained patent at >2 years, demonstrating distal revascularization and interval ligation as an effective limb-salvaging option.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2026.102255

Authors: Francesca Osborn, Max Murray-Ramcharan, Pooja Balar, Mina Iskaros, S. Christopher Frontario, Thomas Bernik

Institutions: Rutgers, The State University of New Jersey, Englewood Hospital and Medical Center, Drexel University

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250