Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3847405 | American Journal of Kidney Diseases | 2016 | 4 Pages |
Abstract
An ischemic digit causes significant morbidity due to its associated discomfort and potential for tissue necrosis. Historically, when this phenomenon was peripheral to an ipsilateral arteriovenous access in a hemodialysis patient, it was called “steal syndrome” and was usually treated with access ligation, resulting in loss of the access. We present a dialysis patient with hand pain due to ischemia that was referred for access ligation. Instead, a minimally invasive banding procedure was performed that resulted in access salvage and resolution of symptoms. We present images and a discussion of the diagnosis and treatment of distal hypoperfusion ischemia syndrome in this Imaging Teaching Case.
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Authors
Alexander S. MD, Micah R. MD, Arif MD,