Dialysis-associated steal syndrome (DASS)

Introduction: In this article, we will review the clinical symptoms of dialysis access steal syndrome (DASS), evaluation, treatment options, and our approach and treatment algorithm. Methods: We reviewed the literature discussing different aspects of DASS including its epidemiology, pathogen-esis, clinical presentation, evaluation and management options. Results: DASS is the most dreaded complication of access surgery. Although the incidence is low, all providers caring for dialysis patients should be aware of this problem. Symptoms can range from mild to limb threatening. Although various tests are available, the diagnosis of DASS remains a clinical one and requires thoughtful management to have the best outcomes. Conclusions: Multiple treatment options exist for steal. We present diagnostic evaluation and management algorithm.