Vascular Surgery pp 491-497 | Cite as
Acute Ischemia of the Upper Extremity Following Graft Arteriovenous Fistula
Case Report
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.
Question 1
- A.
(1) A brachio-cephalic AV fistula. (2) A wrist radial-cephalic AV fistula. (3) An AV PTFE bridge graft or a transposed brachial-basilic AV fistula. (4) A cuffed, tunnelled central venous catheter
- B.
(1) A wrist radial-cephalic AV fistula. (2) A brachio-cephalic AV fistula. (3) An AV PTFE bridge graft or a transposed brachial-basilic AV fistula
- C.
(1) A wrist radial-cephalic AV fistula. (2) A transposed brachial-basilic AV fistula. (3) A...
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;275:1089–92.CrossRefPubMedGoogle Scholar
- 2.NKF-DOQI. Clinical practice guidelines for vascular access: update 2000. Am J Kidney Dis. 2001;30(Suppl 1):S137–81.Google Scholar
- 3.Marx AB, Landerman J, Harder FH. Vascular access for hemodialysis. Curr Probl Surg. 1990;27:1–48.CrossRefPubMedGoogle Scholar
- 4.Windus DW. Permanent vascular access: a nephrologist’s view. Am J Kidney Dis. 1993;21:457–71.CrossRefPubMedGoogle Scholar
- 5.Feldman H, Kobrin S, Wasserstein A. Hemodialysis vascular access morbidity. J Am Soc Nephrol. 1996;7:523–35.PubMedGoogle 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;26:373–81.CrossRefPubMedGoogle Scholar
- 7.Gordon IL. Physiology of the arteriovenous fistula. In: Wilson SE, editor. Vascular access, principles and practice. 3rd ed. St. Louis: Mosby; 1996. p. 29–41.Google Scholar
- 8.Schanzer H, Scladany M, Haimov M. Treatment of angioaccess-induced ischemia by revascularization. J Vasc Surg. 1992;16:861–6.CrossRefPubMedGoogle 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;187:422–6.CrossRefPubMedGoogle Scholar
- 10.Wilson SE. Complications of vascular access procedures. In: Wilson SE, editor. Vascular access, principles and practice. 3rd ed. St. Louis: Mosby; 1996. p. 212–24.Google Scholar
- 11.Bakran A, Mickley V, Passlick-Deetjen J. Management of the renal patient, clinical algorithms of vascular access for haemodialysis, vol. 90. Lengerich: Pabst Science; 2003.Google Scholar
- 12.Hye RJ, Wolf YG. Ischemic monomelic neuropathy: an under-recognized complication of hemodialysis access. Ann Vasc Surg. 1994;8:578–82.CrossRefPubMedGoogle Scholar
- 13.Wixon CL, Mills JL. Hemodynamic basis for the diagnosis and treatment of angioaccess-induced steal syndrome. Adv Vasc Surg. 2000;8:147–59.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;7:770–3.PubMedGoogle 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.CrossRefPubMedGoogle 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;36:250–5.CrossRefPubMedGoogle 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;18:2387–90.CrossRefPubMedGoogle Scholar