open access

Vol 10, No 1 (2004)
Original papers
Published online: 2004-02-24
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Surgical treatment of hand ischaemia in patients with arteriovenous fistula

Grzegorz Oszkinis, Marek Winckiewicz, Łukasz Dzieciuchowicz, Zbigniew Krasiński, Fryderyk Pukacki, Marcin Gabriel, Krzysztof Waliszewski
Acta Angiologica 2004;10(1):31-37.

open access

Vol 10, No 1 (2004)
Original papers
Published online: 2004-02-24

Abstract

Background. Hand ischaemia symptoms following the creation of arteriovenous fistulas for haemodialysis occur in the case of 3–5% of patients. The aim of this paper is to assess various methods of hand ischaemia treatment in patients with arteriovenous fistulas created for haemodialysis.
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

Background. Hand ischaemia symptoms following the creation of arteriovenous fistulas for haemodialysis occur in the case of 3–5% of patients. The aim of this paper is to assess various methods of hand ischaemia treatment in patients with arteriovenous fistulas created for haemodialysis.
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.
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Keywords

hand ischaemia; arteriovenous fistula

About this article
Title

Surgical treatment of hand ischaemia in patients with arteriovenous fistula

Journal

Acta Angiologica

Issue

Vol 10, No 1 (2004)

Pages

31-37

Published online

2004-02-24

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

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