TY - CHAP M1 - Book, Section TI - HAND ISCHEMIA AFTER PLACEMENT OF HEMODIALYSIS ACCESS A1 - Aziz, Faisal A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. PY - 2015 T2 - Color Atlas and Synopsis of Vascular Diseases 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. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/04/19 UR - accesscardiology.mhmedical.com/content.aspx?aid=1105290081 ER -