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Approach to Cyanotic Digits and Hand Paresis

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Interventional Nephrology

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Abstract

Ischemia-induced cyanosis and nerve injury leading to hand paresis can cause significant pain and loss of optimal hand function. Arterial stenoses, vascular calcification, and arterial steal can all cause distal ischemia and result in cyanotic digits. In contrast, nerve injury can be seen soon after the creation of an arteriovenous access and is usually the result of sudden diversion of blood flow away from the nerve. The condition is usually seen in diabetics and with upper arm access as compared to the forearm fistulae. This chapter provides information on pathophysiology and management of such patients.

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Authors and Affiliations

  1. Division of Nephrology and Hypertension, Albany Medical College, 25 Hackett Blvd, MC 69, Albany, NY, 12206, USA

    Arif Asif MD, FASN, FNKF

Authors
  1. Arif Asif MD, FASN, FNKF
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Correspondence to Arif Asif MD, FASN, FNKF .

Editor information

Editors and Affiliations

  1. Department of Medicine (CHS), Division of Nephrology, Madison, Wisconsin, USA

    Alexander S. Yevzlin

  2. Medicine, Nephrology and Hypertension, Albany Medical College, Albany, New York, USA

    Arif Asif

  3. Interventional Nephrology Nephrology and Hypertension, University of Miami Miller School of Med, Miami, Florida, USA

    Loay Salman

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Asif, A. (2014). Approach to Cyanotic Digits and Hand Paresis. In: Yevzlin, A., Asif, A., Salman, L. (eds) Interventional Nephrology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8803-3_21

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  • DOI: https://doi.org/10.1007/978-1-4614-8803-3_21

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8802-6

  • Online ISBN: 978-1-4614-8803-3

  • eBook Packages: MedicineMedicine (R0)

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