Author/Editor | Flis, Vojko; Mrdža, Božidar; Štirn, Barbara; Milotič, Franko | |
Title | Kradež z ishemičnimi zapleti pri bolniku s hemodializno arteriovensko fistulo: prikaz primera | |
Translated title | Steal with ishaemic complications in a patient with an anteriovenous fistula for hemodialysis: case report | |
Type | članek | |
Source | Med Mes | |
Vol. and No. | Letnik 1, št. 10-11 | |
Publication year | 2005 | |
Volume | str. 24-8 | |
Language | slo | |
Abstract | Dialysis-associated steal syndrome occuring after creation of arteriovenous fistula for hemodialysis is an uncommon but disturbing and often debilitating complication of upper extremity arteriovenous fistulas. It is decidedly rare with radiocephalic fistulas and more common with proximal arm fistula. We describe a patient who developed a symptomatic steal with finger gangrene after brachiocephalic fistula creation. Flow to the limb was reestablished with the ligation-bypass technique. Vascular access for dialysis remained intact. | |
Summary | Kradežni sindrom je po umetno napravljeni arterio-venski fistuli za dializo na zgornjem udu redek pojav, a lahko povzroči hudo klinično simptomatiko. Zelo redek je pri fistulah v področju zapestja, pogostejši pa pri fistulah na nadlaktu. Prikazan je primer bolnika, kjer se je pojavil kradežni sindrom z gangreno prstov roke po tem, ko je bila narejena arterio-venska fistula v komolčni jamici. Kirurška poprava je bila narejena s postopkom podvezave in dodatnega obvoda. Simptomi so izginili, fistula pa je ostala ohranjena. | |
Descriptors | HEMODIALYSIS CATHETERS, INDWELLING ARTERIOVENOUS SHUNT, SURGICAL ISCHEMIA ARM MIDDLE AGE KIDNEY FAILURE, CHRONIC |