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Distal Revascularization and Interval Ligation

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This article is about the surgical method of treating vascular access steal syndrome. For the Twitter user, see @dril. For the tool, see drill. For the former armed organization of Spaniards and Portuguese, see Directorio Revolucionario Ibérico de Liberación.
Distal Revascularization and Interval Ligation
Specialtynephrology/vascular medicine

DRIL (Distal revascularization-interval ligation) is a surgical method of treating vascular access steal syndrome.

History

DRIL was first proposed by Harry Schanzer and colleagues in 1988.[1]

Procedure

A short distal bypass is created and the artery just distal to the AV anastomosis is ligated.

References

  1. ^ Schanzer H, Schwartz M, Harrington E, Haimov M (1988). "Treatment of ischemia due to "steal" by arteriovenous fistula with distal artery ligation and revascularization". J Vasc Surg. 7 (6): 770–3. doi:10.1067/mva.1988.avs0070770. PMID 3373618.


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