Arteriovenous Fistula, Part 3: Physiologic Testing in Ischemic Steal Syndrome
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Course Overview
This course discusses the complications and diagnostic approaches related to ischemic steal syndrome in hemodialysis access patients. The content emphasizes noninvasive diagnostic methods such as photoplethysmography and duplex ultrasound, surgical treatment options including distal revascularization and interval ligation (DRIL), and the importance of early detection to prevent severe ischemic outcomes. The course also highlights the differentiation between ischemic steal syndrome and ischemic monomelic neuropathy (IMN), emphasizing accurate diagnosis for effective treatment.
Objectives
After completing this activity, the participant will:
Understand the role of physiologic testing in ischemic steal syndrome
Review the basics of surgical treatment for ischemic steal syndrome
Review the pathophysiology and diagnosis of ischemic monomelic neuropathy
Target Audience
Physicians, sonographers, and others who perform and/or interpret ultrasound.
Faculty & Disclosure
Faculty
Nathan Liang MD, MS, RPVI
Assistant Professor of Surgery
Division of Vascular Surgery
University of Pittsburgh Medical Center
Pittsburgh, PA
Disclosure
In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests. Dr. Liang discloses no such relationships exist. No one at IAME who had control over the planning or content of this activity has relationships with commercial interests.
In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests.
IAME has assessed conflict of interest with its faculty, authors, editors, and any individuals who were in a position to control the content of this CME activity. Any identified relevant conflicts of interest have been mitigated. IAME's planners, content reviewers, and editorial staff disclose no relationships with ineligible entities.
Credits
* AMA PRA Category 1™ credits are used by physicians and other groups like PAs and certain nurses. Category 1 credits are accepted by the ARDMS, CCI, ACCME, and Sonography Canada.
Course Details
Accreditation
The Institute for Advanced Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Institute for Advanced Medical Education designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Sonographers: These credits are accepted by the American Registry for Diagnostic Medical Sonography (ARDMS), Sonography Canada, Cardiovascular Credentialing International (CCI), and most other organizations.
