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