title: Radiocephalic fistula complicated by distal ischemia: treatment by ulnar artery dilatation.
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.
authors.forename: Alain
authors.initials: A
authors.lastname: Raynaud
authors.forename: Luigi
authors.initials: L
authors.lastname: Novelli
authors.forename: Xavier
authors.initials: X
authors.lastname: Rovani
authors.forename: Thierry
authors.initials: T
authors.lastname: Carreres
authors.forename: Pierre
authors.initials: P
authors.lastname: Bourquelot
authors.forename: Alain
authors.initials: A
authors.lastname: Hermelin
authors.forename: C
authors.initials: C
authors.lastname: Angel
authors.forename: B
authors.initials: B
authors.lastname: Beyssen
mesh_terms: 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
chemical_list: D017984:Enoxaparin; D007301:Insect Hormones; C061164:allatostatin 1; D006493:Heparin; D000077144:Clopidogrel; D013988:Ticlopidine