Endovascular embolization of arteriovenous fistula in a patient with hand ischemia

Fominykh N.M.; Zulkarnaev A.B.; Gegenava B.B.; Kardanakhishvili Z.B.

doi:https://doi.org/10.17116/hirurgia2019061111

Fominykh N.M.

Department of transplantology, nephrology and artificial organs, Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russia

Zulkarnaev A.B.

Department of transplantology, nephrology and artificial organs, Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russia

Gegenava B.B.

GU "Moskovskiĭ oblastnoĭ nauchno-issledovatel'skiĭ klinicheskiĭ institut im. M.F. Vladimirskogo"

Kardanakhishvili Z.B.

Department of transplantology, nephrology and artificial organs, Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russia

Endovascular embolization of arteriovenous fistula in a patient with hand ischemia

Authors:

Fominykh N.M., Zulkarnaev A.B., Gegenava B.B., Kardanakhishvili Z.B.

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Journal: Pirogov Russian Journal of Surgery. 2019;(6): 111‑116

DOI: 10.17116/hirurgia2019061111

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To cite this article:

Fominykh NM, Zulkarnaev AB, Gegenava BB, Kardanakhishvili ZB. Endovascular embolization of arteriovenous fistula in a patient with hand ischemia. Pirogov Russian Journal of Surgery. 2019;(6):111‑116. (In Russ.)
https://doi.org/10.17116/hirurgia2019061111

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

We present a case report of atypical hand ischemia probably caused by a combination of venous insufficiency and steal syndrome in patient with arteriovenous fistula for hemodialysis. Unclear clinical symptoms may be due to severe trophic disorders (delayed treatment) or combination of two complications (steal syndrome and venous insufficiency). At the same time, we did not get any diagnostic data confirming organic injury of the upper limb veins or central veins. AVF closure did not result positive changes. Angiography made it possible to assess veins patency, to detect additional patent AVF and to close it. It was previously assumed that this previously created AVF was completely occluded. Therefore, positive changes were observed: rapid healing of trophic ulcers, complete disappearance of pain and gradual restoration of function.

Keywords:

arteriovenous fistula

steal syndrome

hand ischemia

venous insufficiency

vascular access

endovascular embolization

Authors:

Fominykh N.M.

Department of transplantology, nephrology and artificial organs, Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russia

Zulkarnaev A.B.

Department of transplantology, nephrology and artificial organs, Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russia

Gegenava B.B.

GU "Moskovskiĭ oblastnoĭ nauchno-issledovatel'skiĭ klinicheskiĭ institut im. M.F. Vladimirskogo"

Kardanakhishvili Z.B.

Department of transplantology, nephrology and artificial organs, Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russia

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References:

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