ABSTRACT
Hand ischemic steal syndrome due to a forearm arteriovenous fistula is a rare occurrence. However, its frequency is increasing with the rise in numbers of elderly and diabetic patients. This complication, which is more common for proximal than for distal accesses, can be very severe and may cause loss of hand function, damage to fingers, and even amputation of fingers or the hand. Its treatment is difficult and often leads to access loss. We report here a case of severe hand ischemia related to a radiocephalic fistula successfully treated by ulnar artery dilatation.
Subject(s)
Angioplasty, Balloon/methods , Arterial Occlusive Diseases/complications , Arterial Occlusive Diseases/therapy , Catheters, Indwelling/adverse effects , Diabetes Mellitus, Type 1/complications , Hand/blood supply , Ischemia/etiology , Aged , Clopidogrel , Enoxaparin/administration & dosage , Female , Heparin/administration & dosage , Humans , Insect Hormones/administration & dosage , Peritoneal Dialysis , Ticlopidine/administration & dosage , Ticlopidine/analogs & derivatives , Ulnar ArteryABSTRACT
We report the case of a 50-year-old man who presented to our institution with septic thrombosis of the renal vein which had not resolved despite several days of antibiotic therapy. Optimal restoration of renal vein flow was obtained by percutaneous manual aspiration embolectomy (PMAE) in this patient with contraindication to fibrinolytic therapy and surgery.
