Table of Contents
J. Clin. Med., Volume 7, Issue 6 (June 2018)
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Cover Story (view full-size image) Dialysis associated steal syndrome (DASS) is a rare but debilitating complication of arteriovenous [...] Read more. Dialysis associated steal syndrome (DASS) is a rare but debilitating complication of arteriovenous fistula (AVF) creation. Mild symptoms are often monitored; however severe symptoms can lead to limb threatening ischemia and mandate intervention. Open surgical procedures were once the only management options available for DASS and high flow however given the inherent risk of surgery and anesthesia in dialysis patients, minimally invasive options have been developed. Minimally invasive limited ligation endoluminal-assisted revision (MILLER) offers a precise and minimally invasive approach for patients suffering either DASS or high flow with resultant heart failure. The following paper will discuss common open surgical procedures as well as describe the technical aspects of the MILLER procedure and the literature available. View this paper