Radiocephalic fistula complicated by distal ischemia: treatment by ulnar artery dilatation.
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.
Raynaud
Alain
A
Novelli
Luigi
L
Rovani
Xavier
X
Carreres
Thierry
T
Bourquelot
Pierre
P
Hermelin
Alain
A
Angel
C
C
Beyssen
B
B
D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000628:therapy*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D000077144:Clopidogrel; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D017984:Enoxaparin / Q000008:administration & dosage; D005260:Female; D006225:Hand / Q000098:blood supply*; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007301:Insect Hormones / Q000008:administration & dosage; D007511:Ischemia / Q000209:etiology*; D010530:Peritoneal Dialysis; D013988:Ticlopidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D017535:Ulnar Artery
D017984:Enoxaparin; D007301:Insect Hormones; C061164:allatostatin 1; D006493:Heparin; D000077144:Clopidogrel; D013988:Ticlopidine