A 52-year-old man who had received hemodialysis via a left radial-cephalic arteriovenous fistula (AVF) for 18 years presented with severe ischemic symptoms in the left upper arm 12 years after occlusion of the AVF. Diagnostic imaging revealed thrombotic occlusion from a left axillary-brachial artery aneurysm, which required distal bypass surgery. The inflow artery of an AVF can develop aneurysmal degeneration, resulting in upper limb ischemia by embolization or decreased flow, especially with a ligated or occluded AVF or immunosuppressive therapy after renal transplantation. In such cases, the AVF should be monitored, even if ligated or occluded.
Keyphrases
- minimally invasive
- coronary artery
- peritoneal dialysis
- end stage renal disease
- chronic kidney disease
- high resolution
- lymph node
- pulmonary embolism
- ultrasound guided
- stem cells
- neoadjuvant chemotherapy
- abdominal aortic aneurysm
- oxidative stress
- radiation therapy
- percutaneous coronary intervention
- sleep quality
- cerebral ischemia