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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Sidney RegaladoM.D.
Section of Vascular and Interventional Radiology, University of Chicago Medical Center
5841 S. Maryland Avenue, MC 2026, Chicago, IL 60637
Email: sidreg3@yahoo.com
