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Distal revascularization and interval ligation for femoral arteriovenous graft steal syndrome
Journal article   Open access   Peer reviewed

Distal revascularization and interval ligation for femoral arteriovenous graft steal syndrome

Francesca Osborn, Max Murray-Ramcharan, Pooja Balar, Mina Iskaros, S. Christopher Frontario and Thomas Bernik
Journal of vascular surgery cases and innovative techniques, v 12(4), 102255
01 Aug 2026
PMID: 42110652
Featured in Collection :   Drexel's Newest Publications
url
https://doi.org/10.1016/j.jvscit.2026.102255View
Published, Version of Record (VoR) Open CC BY V4.0

Abstract

AVG Distal revascularization-interval ligation DRIL Femoral arteriovenous access Femoral arteriovenous graft Limb ischemia Steal syndrome Hemodialysis
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.

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