Deshmukh N, Reppert M
Section of Vascular Surgery, Guthrie Medical Center/Guthrie Clinic, Sayre, PA 18840.
Mil Med. 1993 Nov;158(11):752-3.
Cimino fistula is an anastomosis created for chronic hemodialysis, between the radial artery and cephalic vein near the wrist. Its complications include thrombosis (most frequent), infection, congestive heart failure, arterial insufficiency, venous hypertension, vascular access neuropathy, and aneurysms. Of these, venous hypertension appears to occur rarely. We report here a case where it resulted in pigmentation, swelling, and ulceration of the middle finger. It was surgically treated, without ligating the arteriovenous fistula, by selective ligation of tributaries from the affected fingers.
西米诺瘘是一种为慢性血液透析而在手腕附近的桡动脉和头静脉之间建立的吻合术。其并发症包括血栓形成（最常见）、感染、充血性心力衰竭、动脉供血不足、静脉高压、血管通路神经病变和动脉瘤。其中，静脉高压似乎很少发生。我们在此报告一例静脉高压导致中指色素沉着、肿胀和溃疡的病例。通过选择性结扎患指的分支静脉进行手术治疗，未结扎动静脉瘘。
