Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia
Hemodialysis access-induced distal ischemia (HAIDI) is an uncommon, yet potentially devastating, complication of hemodialysis access surgery. Management of HAIDI depends on the access' volume flow and may involve banding, proximalization of arterial inflow, revision using distal inflow, distal...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724001746 |
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| author | Samuel Paci, MD Vincent Narvaez, MD Yana Etkin, MD |
| author_facet | Samuel Paci, MD Vincent Narvaez, MD Yana Etkin, MD |
| author_sort | Samuel Paci, MD |
| collection | DOAJ |
| description | Hemodialysis access-induced distal ischemia (HAIDI) is an uncommon, yet potentially devastating, complication of hemodialysis access surgery. Management of HAIDI depends on the access' volume flow and may involve banding, proximalization of arterial inflow, revision using distal inflow, distal revascularization interval ligation, or access ligation. Various adjunctive techniques have been used to confirm improved distal arterial flow intraoperatively. Here, we present a case of a patient with grade 3 HAIDI treated with proximalization of arterial inflow technique with the adjunctive use of intra-arterial pressure gradient measurements. |
| format | Article |
| id | doaj-art-4308b7a25b8145d195b159e8bd236d97 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-4308b7a25b8145d195b159e8bd236d972024-11-30T07:13:27ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-01106101590Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemiaSamuel Paci, MD0Vincent Narvaez, MD1Yana Etkin, MD2Northwell Health, New Hyde Park, NY; Department of Surgery at Zucker School of Medicne, Manhasset, NYNorthwell Health, New Hyde Park, NY; Department of Surgery at Zucker School of Medicne, Manhasset, NYNorthwell Health, New Hyde Park, NY; Department of Surgery at Zucker School of Medicne, Manhasset, NY; Correspondence: Yana Etkin, MD, Northwell Health, 2000 Marcus Ave, Suite 300, New Hyde Park, NY 11042-1069Hemodialysis access-induced distal ischemia (HAIDI) is an uncommon, yet potentially devastating, complication of hemodialysis access surgery. Management of HAIDI depends on the access' volume flow and may involve banding, proximalization of arterial inflow, revision using distal inflow, distal revascularization interval ligation, or access ligation. Various adjunctive techniques have been used to confirm improved distal arterial flow intraoperatively. Here, we present a case of a patient with grade 3 HAIDI treated with proximalization of arterial inflow technique with the adjunctive use of intra-arterial pressure gradient measurements.http://www.sciencedirect.com/science/article/pii/S2468428724001746dialysis access, hemodialysis access-induced distal ischemia, proximalization of arterial inflow |
| spellingShingle | Samuel Paci, MD Vincent Narvaez, MD Yana Etkin, MD Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia Journal of Vascular Surgery Cases and Innovative Techniques dialysis access, hemodialysis access-induced distal ischemia, proximalization of arterial inflow |
| title | Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia |
| title_full | Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia |
| title_fullStr | Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia |
| title_full_unstemmed | Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia |
| title_short | Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia |
| title_sort | proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access induced distal ischemia |
| topic | dialysis access, hemodialysis access-induced distal ischemia, proximalization of arterial inflow |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724001746 |
| work_keys_str_mv | AT samuelpacimd proximalizationofarterialinflowwithadjunctivearterialpressuremeasurementsformanagementofhemodialysisaccessinduceddistalischemia AT vincentnarvaezmd proximalizationofarterialinflowwithadjunctivearterialpressuremeasurementsformanagementofhemodialysisaccessinduceddistalischemia AT yanaetkinmd proximalizationofarterialinflowwithadjunctivearterialpressuremeasurementsformanagementofhemodialysisaccessinduceddistalischemia |