Prediction of Graft Patency and Mortality After Distal Revascularization and Interval Ligation for Hemodialysis Access-Related Hand Ischemia

Although not common, hemodialysis access-induced distal ischemia is a serious condition resulting in significant hemodialysis patient morbidity. Patients with signs and symptoms suggestive of hand ischemia frequently present to the general and interventional nephrologist for evaluation. In order to care for these cases, it is necessary to understand this syndrome and its management. Most cases can be managed conservatively without intervention. Some cases requiring intervention may be treated using techniques within the scope of practice of the interventional nephrologists while other cases require vascular surgery. In order for the interventional nephrologists to evaluate and manage these cases in a timely and appropriate manner, practice guidelines are presented.

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Incidence and Characteristics of Patients with Hand Ischemia after a Hemodialysis Access Procedure

Journal of Surgical Research ◽

10.1006/jsre.1997.5206 ◽

1998 ◽

Vol 74 (1) ◽

pp. 8-10 ◽

Cited By ~ 136

Author(s):

Amro H. Morsy ◽

Mark Kulbaski ◽

Changyi Chen ◽

Halit Isiklar ◽

Alan B. Lumsden

Keyword(s):

Hemodialysis Access ◽

Hand Ischemia

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Recognition and treatment of patients with hand ischemia after a hemodialysis access procedure

DMW - Deutsche Medizinische Wochenschrift ◽

10.1055/s-2003-44945 ◽

2003 ◽

Vol 128 (48) ◽

pp. 2543-2546

Keyword(s):

Hemodialysis Access ◽

Hand Ischemia

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Hand ischemia in patients with hemodialysis access grafts: angiographic diagnosis and treatment.

Radiology ◽

10.1148/radiology.196.3.7644631 ◽

1995 ◽

Vol 196 (3) ◽

pp. 697-701 ◽

Cited By ~ 92

Author(s):

K Valji ◽

R J Hye ◽

A C Roberts ◽

S B Oglevie ◽

T Ziegler ◽

...

Keyword(s):

Diagnosis And Treatment ◽

Hemodialysis Access ◽

Hand Ischemia ◽

Angiographic Diagnosis

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Management of Hand Ischemia in Patients with Hemodialysis Access by Distal Arterial Ligation and Revascularization

Vascular Surgery ◽

10.1177/153857449903300506 ◽

1999 ◽

Vol 33 (5) ◽

pp. 481-488 ◽

Cited By ~ 2

Author(s):

Peter H. Lin ◽

Changyi Chen ◽

Scott M. Suroweic ◽

Brian Conklin ◽

Julie MacDonald ◽

...

Keyword(s):

Hemodialysis Access ◽

Arterial Ligation ◽

Hand Ischemia

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Novel Clinical Therapies and Technologies in Dialysis Vascular Access

Kidney360 ◽

10.34067/kid.0002962021 ◽

2021 ◽

pp. 10.34067/KID.0002962021

Author(s):

Edwin Takahashi ◽

Sreenivasulu Kilari ◽

Sanjay Misra

Keyword(s):

Drug Delivery ◽

Health Care ◽

Stem Cell ◽

Vascular Access ◽

Graft Patency ◽

Hemodialysis Access ◽

Arteriovenous Fistulas ◽

Patient Morbidity ◽

Care Costs

The hemodialysis population continues to grow. Although procedures for dialysis have existed for over 60 years, significant challenges with vascular access to support hemodialysis persist. Failure of arteriovenous fistulas (AVFs) to mature, loss of AVF and graft patency, thrombosis and infection hinder long-term access and add extra health care costs as well as patient morbidity. There have been numerous innovations over the last decade aimed at addressing the issues. Herein, we review the literature and summarize the recent evolution of drug delivery, graft development, minimally invasive AVF creation, and stem cell therapy for hemodialysis access.

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