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Shin-Rong Lee

As seen in: Annals of Vascular Surgery
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Articles

Risk Factors and Management of Steal Syndrome After Hemodialysis Access Creation

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By Shin-Rong Lee, Alan Dardik, Jeffrey J. Siracuse, Cassius Ochoa Chaar
| Annals of Vascular Surgery Verified
Steal syndrome is an uncommon but significant complication after hemodialysis access creation that may require intervention. This study examines the risk factors for steal syndrome requiring intervention and compares the outcomes of the different treatment modalities.
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Strategies to Minimize Iodinated Contrast Volume in Patients with Chronic Kidney Disease Undergoing Peripheral Vascular Interventions

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By Shin-Rong Lee, Alan Dardik
| Annals of Vascular Surgery Verified
Peripheral vascular interventions (PVI) utilize iodinated contrast medium (ICM) to visualize intravascular lesions and guide therapy. The use of ICM carries a risk of postcontrast acute kidney injury (PC-AKI), which is increased in the elderly and in patients with chronic kidney disease (CKD). Furthermore, the risk of PC-AKI increases with the volume of ICM used. This paper reports a 94-year-old patient with CKD stage 4 who presented with chronic limb threatening ischemia.
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Arteriovenous fistula-induced cardiac remodeling shows cardioprotective features in mice

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By Shin-Rong Lee, Stephanie L. Thorn, Bydlowski S.P, Nicole Guerrera
| jvsvs.org
Abstract Objective Arteriovenous fistulae (AVF) placed for hemodialysis have high flow rates that can stimulate left ventricular (LV) hypertrophy. LV hypertrophy generally portends poor cardiac outcomes, yet clinical studies point to superior cardiac-specific outcomes for patients with AVF when compared with other dialysis modalities. We hypothesize that AVF induce physiologic cardiac hypertrophy with cardioprotective features.
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