Dialysis Access Steal Syndrome (DASS) in a Patient with Distal Revascularization and Interval Ligation (DRIL)
This chapter discusses the case of a patient with type 1 diabetes who had been on dialysis for 6 years using a brachial basilic fistula. Four years earlier, the patient had developed dialysis access steal syndrome and had a distal revascularization with interval ligation (DRIL) procedure performed at that time. Over the past few months, the patient has had ipsilateral hand pain on dialysis and recently has started having hand pain and breast at rest. The patient was referred to the dialysis access center for evaluation of this hand pain.