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Acute Ischemia of the Upper Extremity Following Graft Arteriovenous Fistula

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Vascular Surgery

Abstract

A 65-year-old woman with end-stage renal disease and insulin-dependent diabetes was admitted for access construction in order to start haemodialysis. There was a lack of suitable veins to construct an arteriovenous (AV) fistula, and the patient underwent placement of a 6-mm polytetrafluoroethylene (PTFE) AV bridge graft between the brachial artery and the axillary vein in the left arm.

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References

  1. Brescia MJ, Cimino JE, Appel K, Hurwich BJ. Chronic hemodialysis using venipuncture and a superficially created arteriovenous fistula. N Engl J Med. 1966;275:1089-1092.

    Article  PubMed  CAS  Google Scholar 

  2. NKF-DOQI. Clinical practice guidelines for vascular access: update 2000. Am J Kidney Dis. 2001;30(Suppl 1):S137-S181.

    Google Scholar 

  3. Marx AB, Landerman J, Harder FH. Vascular access for hemodialysis. Curr Probl Surg. 1990;27:1-48.

    Article  PubMed  CAS  Google Scholar 

  4. Windus DW. Permanent vascular access: a nephrologist’s view. Am J Kidney Dis. 1993;21:457-471.

    PubMed  CAS  Google Scholar 

  5. Feldman H, Kobrin S, Wasserstein A. Hemodialysis vascular access morbidity. J Am Soc Nephrol. 1996;7:523-535.

    PubMed  CAS  Google Scholar 

  6. Marston WA, Criado E, Jaque PF, Mauro MA, Burnham SJ, Keagy BA. Prospective randomized comparison of surgical versus endovascular management of thrombosed dialysis access grafts. J Vasc Surg. 1997;26:373-381.

    Article  PubMed  CAS  Google Scholar 

  7. Gordon IL. Physiology of the arteriovenous fistula. In: Wilson SE, ed. Vascular access, principles and practice. 3rd ed. St. Louis: Mosby; 1996:29-41.

    Google Scholar 

  8. Schanzer H, Scladany M, Haimov M. Treatment of angioaccess-induced ischemia by revascularization. J Vasc Surg. 1992;16:861-866.

    Article  PubMed  CAS  Google Scholar 

  9. Lazarides MK, Staramos DN, Panagopoulos GN, Tzilalis VD, Eleftheriou GJ, Dayantas JN. Indications for surgical treatment of angioaccess-induced arterial steal. J Am Coll Surg. 1998;187:422-426.

    Article  PubMed  CAS  Google Scholar 

  10. Wilson SE. Complications of vascular access procedures. In: Wilson SE, ed. Vascular Access, Principles And Practice. 3rd ed. St. Louis: Mosby; 1996:212-224.

    Google Scholar 

  11. Bakran A, Mickley V, Passlick-Deetjen J. Management of the Renal Patient, Clinical Algorithms of Vascular Access for Haemodialysis. Lengerich: Pabst Science; 2003:90.

    Google Scholar 

  12. Hye RJ, Wolf YG. Ischemic monomelic neuropathy: an under-recognized complication of hemodialysis access. Ann Vasc Surg. 1994;8:578-582.

    Article  PubMed  CAS  Google Scholar 

  13. Wixon CL, Mills JL. Hemodynamic basis for the diagnosis and treatment of angioaccess-induced steal syndrome. Adv Vasc Surg. 2000;8:147-159.

    Google Scholar 

  14. Schanzer H, Schwartz M, Harrington E, Haimov M. Treatment of ischemia due to steal by arteriovenous fistula with distal artery ligation and revascularization. J Vasc Surg. 1988;7:770-773.

    PubMed  CAS  Google Scholar 

  15. Tordoir JH, Dammers R, van der Sande FM. Upper extremity ischemia and hemodialysis vascular access. Eur J Vasc Endovasc Surg. 2004;27:1-5.

    Article  PubMed  CAS  Google Scholar 

  16. Knox RC, Berman SS, Hughes JD, Gentile AT, Mills JL. Distal revascularization-interval ligation: a durable and effective treatment for ischemic steal syndrome after hemodialysis access. J Vasc Surg. 2002;36:250-255.

    Article  PubMed  Google Scholar 

  17. Lazarides MK, Staramos DN, Kopadis G, Maltezos C, Tzilalis VD, Georgiadis GS. Onset of arterial steal following proximal angioaccess: immediate and delayed types. Nephrol Dial Transplant. 2003;18:2387-2390.

    Article  PubMed  Google Scholar 

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Lazarides, M.K., Tzilalis, V.D. (2010). Acute Ischemia of the Upper Extremity Following Graft Arteriovenous Fistula. In: Geroulakos, G., Sumpio, B. (eds) Vascular Surgery. Springer, London. https://doi.org/10.1007/978-1-84996-356-5_42

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  • DOI: https://doi.org/10.1007/978-1-84996-356-5_42

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  • Print ISBN: 978-1-84996-355-8

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