Peripheral venous hypertension of the hand: a complication of a proximal radial artery arteriovenous fistula
Venous hypertension due to dialysis access is usually secondary to outflow obstruction. The bidirectional proximal radial artery arteriovenous fistula (PRAVF) has been proposed as a procedure to increase autogenous fistula utilization and is rarely reported to cause peripheral venous hypertension. W...
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| Veröffentlicht in: | The journal of vascular access 2008-01, Vol.9 (1), p.64-66 |
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| container_title | The journal of vascular access |
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| creator | Anaya-Ayala, J E Charlton-Ouw, K M Cardon, A L Peden, E K |
| description | Venous hypertension due to dialysis access is usually secondary to outflow obstruction. The bidirectional proximal radial artery arteriovenous fistula (PRAVF) has been proposed as a procedure to increase autogenous fistula utilization and is rarely reported to cause peripheral venous hypertension. We report here a case of peripheral venous hypertension from a PRAVF, the first report to our knowledge caused by a peripheral outflow obstruction. A proximal occlusion in the medial cephalic vein led to retrograde flow through the median antebrachial vein into the hand. We briefly discuss this complication and considerations of its management in relation to the bidirectional PRAVF creation. |
| doi_str_mv | 10.1177/112972980800900111 |
| format | Article |
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We briefly discuss this complication and considerations of its management in relation to the bidirectional PRAVF creation.</description><identifier>ISSN: 1129-7298</identifier><identifier>EISSN: 1724-6032</identifier><identifier>DOI: 10.1177/112972980800900111</identifier><identifier>PMID: 18379983</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Arteriovenous Shunt, Surgical - adverse effects ; Brachiocephalic Veins - diagnostic imaging ; Brachiocephalic Veins - surgery ; Hand - blood supply ; Humans ; Hypertension - complications ; Hypertension - diagnostic imaging ; Hypertension - surgery ; Kidney Failure, Chronic - therapy ; Ligation ; Male ; Phlebography ; Renal Dialysis - adverse effects ; Renal Dialysis - methods ; Varicose Ulcer - diagnostic imaging ; Varicose Ulcer - etiology ; Varicose Ulcer - surgery ; Venous Insufficiency - complications ; Venous Insufficiency - diagnostic imaging ; Venous Insufficiency - surgery</subject><ispartof>The journal of vascular access, 2008-01, Vol.9 (1), p.64-66</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c301t-5b46c4ec91f793839e22d48e4091e50d29a5f2347ca3c78b1f9556e005204d743</citedby><cites>FETCH-LOGICAL-c301t-5b46c4ec91f793839e22d48e4091e50d29a5f2347ca3c78b1f9556e005204d743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18379983$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anaya-Ayala, J E</creatorcontrib><creatorcontrib>Charlton-Ouw, K M</creatorcontrib><creatorcontrib>Cardon, A L</creatorcontrib><creatorcontrib>Peden, E K</creatorcontrib><title>Peripheral venous hypertension of the hand: a complication of a proximal radial artery arteriovenous fistula</title><title>The journal of vascular access</title><addtitle>J Vasc Access</addtitle><description>Venous hypertension due to dialysis access is usually secondary to outflow obstruction. The bidirectional proximal radial artery arteriovenous fistula (PRAVF) has been proposed as a procedure to increase autogenous fistula utilization and is rarely reported to cause peripheral venous hypertension. We report here a case of peripheral venous hypertension from a PRAVF, the first report to our knowledge caused by a peripheral outflow obstruction. A proximal occlusion in the medial cephalic vein led to retrograde flow through the median antebrachial vein into the hand. 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The bidirectional proximal radial artery arteriovenous fistula (PRAVF) has been proposed as a procedure to increase autogenous fistula utilization and is rarely reported to cause peripheral venous hypertension. We report here a case of peripheral venous hypertension from a PRAVF, the first report to our knowledge caused by a peripheral outflow obstruction. A proximal occlusion in the medial cephalic vein led to retrograde flow through the median antebrachial vein into the hand. We briefly discuss this complication and considerations of its management in relation to the bidirectional PRAVF creation.</abstract><cop>United States</cop><pmid>18379983</pmid><doi>10.1177/112972980800900111</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 1129-7298 |
| ispartof | The journal of vascular access, 2008-01, Vol.9 (1), p.64-66 |
| issn | 1129-7298 1724-6032 |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adult Arteriovenous Shunt, Surgical - adverse effects Brachiocephalic Veins - diagnostic imaging Brachiocephalic Veins - surgery Hand - blood supply Humans Hypertension - complications Hypertension - diagnostic imaging Hypertension - surgery Kidney Failure, Chronic - therapy Ligation Male Phlebography Renal Dialysis - adverse effects Renal Dialysis - methods Varicose Ulcer - diagnostic imaging Varicose Ulcer - etiology Varicose Ulcer - surgery Venous Insufficiency - complications Venous Insufficiency - diagnostic imaging Venous Insufficiency - surgery |
| title | Peripheral venous hypertension of the hand: a complication of a proximal radial artery arteriovenous fistula |
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