Distal Revascularization and Interval Ligation

Distal Revascularization and Interval Ligation
Specialty	Nephrology/vascular medicine

Distal Revascularization and Interval Ligation (DRIL) 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:10.1016/0741-5214(88)90040-7. PMID 3373618.