Distal revascularization-interval ligation for maintenance of dialysis access and restoration of distal perfusion in ischemic steal syndrome

C. L. Wixon, Joseph L Mills, S. S. Berman

Research output: Contribution to journalArticle

25 Scopus citations


Ischemic steal syndrome after hemodialysis access challenges the clinician to reconcile the dichotomy of maintenance of access patency and restoration of distal limb perfusion. Results from traditional procedures directed toward increasing the resistance in the fistula (eg, banding, lengthening) have yielded unreliable results and frequently eventuate in fistula thrombosis. The recently described technique of distal revascularization, interval ligation (DRIL) provides a more physiological approach. Based on several recent series, application of the technique has provided excellent resolution of ischemic symptoms and superior preservation of fistula patency. Copyright (C) 2000 by W.B. Saunders Company.

Original languageEnglish (US)
Pages (from-to)77-82
Number of pages6
JournalSeminars in Vascular Surgery
Issue number1
Publication statusPublished - 2000


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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