Bolton C F, Driedger A A, Lindsay R M
J Neurol Neurosurg Psychiatry. 1979 Sep;42(9):810-4. doi: 10.1136/jnnp.42.9.810.
A bovine shunt, inserted between the radial artery and cephalic vein in the upper arm for access during chronic haemodialysis, caused a distal, ischaemic neuropathy in two patients. There were electrophysiological signs of axonal degeneration of motor and sensory nerve fibres in the patient with severe ischaemia, and, of only sensory fibres in the patient with mild ischaemia. Thenar muscle blood flow studies using 133Xe were a useful measure of altered tissue perfusion. Recovery was incomplete in both cases, despite banding of the graft and improved tissue perfusion in the severe case.
一种用于慢性血液透析时建立血管通路的牛血管分流装置，在上臂的桡动脉和头静脉之间植入后，导致两名患者出现远端缺血性神经病变。在严重缺血的患者中，有运动和感觉神经纤维轴索性变性的电生理迹象，而在轻度缺血的患者中，仅有感觉纤维出现这种迹象。使用氙-133进行的鱼际肌血流研究是评估组织灌注改变的一种有效方法。尽管对移植物进行了绑扎，且严重病例的组织灌注有所改善，但两例患者的恢复均不完全。
