A Case of Ischemic Steal Syndrome in a Renal Transplantation Recipient / 대한이식학회지
The Journal of the Korean Society for Transplantation
;
: 190-193, 2013.
Article
in Korean
| WPRIM
| ID: wpr-168231
ABSTRACT
Ischemic steal syndrome (ISS) is one of the serious complications that can occur after construction of an arteriovenous fistula (AVF) for hemodialysis (HD). Because AVF-related ISS symptoms are usually aggravated during HD sessions, a few cases of ISS in kidney transplantation (KT) recipients have been reported in the literature. We describe a 63-year-old male with diabetic nephropathy who created AVF for maintenance HD and presented with pain at rest and tissue necrosis of the left distal fingers at 10 years post-KT. Brachial angiography revealed the presence of attenuated blood flow through the distal ulnar artery. He underwent finger amputation and AVF ligation, leading to complete relief of ischemic symptoms. The aim of this case report is to help clinicians to diagnosis a steal syndrome in kidney transplantation with a careless AVF for a long period of time.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Angiography
/
Arteriovenous Fistula
/
Renal Dialysis
/
Kidney Transplantation
/
Ulnar Artery
/
Diabetic Nephropathies
/
Diagnosis
/
Fingers
/
Amputation, Surgical
/
Ligation
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
The Journal of the Korean Society for Transplantation
Year:
2013
Type:
Article
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