Jaryal Ajay, Vikrant Sanjay, Thakur Preyander
Department of Nephrology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, 171001 India.
Hemodial Int. 2017 Jan;21(1):E1-E3. doi: 10.1111/hdi.12444. Epub 2016 Jun 21.
Native arterio-venous fistulae (AVF) are vascular access of first choice for chronic hemodialysis. However, AVF are also associated with many adverse events like: primary or secondary failure, infection, lymphedema, stenosis, thrombosis, and ischemia of distal extremities. The most common ischemia related complications of AVF are: ischemic neuropathy and steal syndrome with its consequences like pain and peripheral necrosis. Ischemic muscle contracture is a rare complication of AVF. Herein, we are reporting a case of Volkmann's ischemic contracture developing after creation of brachiocephalic AVF.
自体动静脉内瘘(AVF)是慢性血液透析的首选血管通路。然而,AVF也与许多不良事件相关,如:原发性或继发性失败、感染、淋巴水肿、狭窄、血栓形成以及肢体远端缺血。AVF最常见的与缺血相关的并发症是:缺血性神经病变和窃血综合征及其后果,如疼痛和周围坏死。缺血性肌肉挛缩是AVF的一种罕见并发症。在此,我们报告一例在创建头臂动静脉内瘘后发生的Volkmann缺血性挛缩病例。