Finger necrosis: a rare complication of arteriovenous fistulas created for hemodialysis

Finger necrosis: a rare complication of arteriovenous fistulas created for hemodialysis Created arteriovenous fistulas for hemodialysis in patients with renal failure can cause problems in the upper extremity. Thrombosis, bleeding, infection, and distal ischemic changes can be seen. Steal is considered as a rare phenomenon. High blood-flow volume through an arteriovenous fistula may cause stealing of blood from forearm arteries which can lead to distal hypoperfusion and peripheral ischemia as well as distal finger-tip amputations and even spontaneous ulcerations. Herein, two patients admitted to our outpatient clinic by finger necrosis have been reported, and the aim of this paper is to highlight a rare but serious complication of arteriovenous fistula and discuss what should be done to prevent finger necrosis and the strategies that can be done in the case of finger necrosis which might be of interest for the clinicians. Level of Evidence: Level V, risk/prognostic study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Finger necrosis: a rare complication of arteriovenous fistulas created for hemodialysis

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2014 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-014-0962-4
Publisher site
See Article on Publisher Site

Abstract

Created arteriovenous fistulas for hemodialysis in patients with renal failure can cause problems in the upper extremity. Thrombosis, bleeding, infection, and distal ischemic changes can be seen. Steal is considered as a rare phenomenon. High blood-flow volume through an arteriovenous fistula may cause stealing of blood from forearm arteries which can lead to distal hypoperfusion and peripheral ischemia as well as distal finger-tip amputations and even spontaneous ulcerations. Herein, two patients admitted to our outpatient clinic by finger necrosis have been reported, and the aim of this paper is to highlight a rare but serious complication of arteriovenous fistula and discuss what should be done to prevent finger necrosis and the strategies that can be done in the case of finger necrosis which might be of interest for the clinicians. Level of Evidence: Level V, risk/prognostic study.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jul 1, 2014

References

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