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Surgical treatment of hand ischaemia in patients with arteriovenous fistula
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Abstract
Material and methods. There were 42 persons who underwent operations between 1990 and 2002. There were 20 cases of ischaemic necrosis in the area of fingers. Twenty two patients reported pain which was becoming more acute during dialysis. In 9 cases, distal arterial ligation was made. Arterial anastomosis with prosthesis band was performed in 16 cases whereas arterial ligation-bypass was applied in 14 cases.
Results. In the case of 3 patients we had to ligate a fistula and create a new one. In the group of the remaining 39 patients hand blood supply improved and ischaemic symptoms were relieved. Within follow-up, thrombosis occurred in 7 patients (banding group).
Conclusions. In patients with hand ischaemia symptoms one should always try, once the arteriovenous fistula is created, to improve the blood supply condition and, at the same time, keep anastomosis patent.
Abstract
Material and methods. There were 42 persons who underwent operations between 1990 and 2002. There were 20 cases of ischaemic necrosis in the area of fingers. Twenty two patients reported pain which was becoming more acute during dialysis. In 9 cases, distal arterial ligation was made. Arterial anastomosis with prosthesis band was performed in 16 cases whereas arterial ligation-bypass was applied in 14 cases.
Results. In the case of 3 patients we had to ligate a fistula and create a new one. In the group of the remaining 39 patients hand blood supply improved and ischaemic symptoms were relieved. Within follow-up, thrombosis occurred in 7 patients (banding group).
Conclusions. In patients with hand ischaemia symptoms one should always try, once the arteriovenous fistula is created, to improve the blood supply condition and, at the same time, keep anastomosis patent.
Keywords
hand ischaemia; arteriovenous fistula
About this articleTitle
Surgical treatment of hand ischaemia in patients with arteriovenous fistula
Journal
Issue
Article type
Research paper
Pages
31-37
Published online
2004-02-24
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1667
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1644
Bibliographic record
Acta Angiologica 2004;10(1):31-37.
Keywords
hand ischaemia
arteriovenous fistula
Authors
Grzegorz Oszkinis
Marek Winckiewicz
Łukasz Dzieciuchowicz
Zbigniew Krasiński
Fryderyk Pukacki
Marcin Gabriel
Krzysztof Waliszewski