RT Book, Section
A1 Aziz, Faisal
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105290081
T1 HAND ISCHEMIA AFTER PLACEMENT OF HEMODIALYSIS ACCESS
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesscardiology.mhmedical.com/content.aspx?aid=1105290081
RD 2024/04/19
AB A  78-year-old,  right-hand-dominant  man  was  diagnosed  with  end-stage  renal  disease.  It  was  deemed  that  he  would  require  lifetime  hemodialysis.  Venous  mapping  with  Duplex  ultrasound  was  performed  in  both  upper  extremities  to  locate  suitable  veins  for  dialysis  access.  Left  proximal  radial  artery  to  cephalic  vein  arteriovenous  fistula  was  created.  Patient  had  an  uneventful  postoperative  course.  He  demonstrated  an  excellent  thrill  and  bruit  throughout  the  course  of  fistula.  He  had  palpable  radial  and  ulnar  pulses.  Approximately  8  weeks  later,  the  fistula  was  used  for  hemodialysis.  The  patient  started  complaining  of  pain  in  all  the  digits  of  the  left  hand  and  noticeable  discoloration  of  the  left  hand  during  dialysis.  His  symptoms  resolved  completely  upon  discontinuing  dialysis.