Accessory veins related hand ischemia: A case series.

INTRODUCTION

Arteriovenous fistula is considered as a lifeline for chronic kidney patients undergoing maintenance hemodialysis.

OBJECTIVE

To study the outcome of ligation of the accessory vein causing hyperperfusion and ischemia of the ipsilateral limb.

METHOD

ology: A single institution, single surgeon, in-hospital, retrospective case series of patients presented with alarm symptoms in postoperative period following arteriovenous fistula.

RESULTS

A total of 800 AVF were created between 2016 and 2019, out of which 6/800 (0.75 %) patients presented with alarm symptoms related to venous hypertension and underwent accessory vein ligation. All showed normal recovery with complete resolution of symptoms postoperatively.

CONCLUSION

Timely ligation of the accessory vein in patients with arteriovenous fistula with accessory vein related alarm symptoms showed salvage of lifeline and limb with no residual complications during follow-up.