ASDIN white paper: Assessment and management of hemodialysis access-induced distal ischemia by interventional nephrologists

被引：18

作者：

Beathard, Gerald A. ^{[1
]}

Jennings, William C. ^{[2
]}

Wasse, Haimanot ^{[3
]}

Shenoy, Surendra ^{[4
]}

Hentschel, Dirk M. ^{[5
]}

Abreo, Kenneth ^{[6
]}

Urbanes, Aris ^{[7
]}

Nassar, George ^{[8
,9
]}

Dolmatch, Bart ^{[10
]}

Davidson, Ingemar ^{[11
]}

Asif, Arif ^{[12
]}

机构：

[1] Univ Texas Med Branch, Galveston, TX 77555 USA

[2] Univ Oklahoma, Sch Community Med, Tulsa, OK USA

[3] Rush Univ, Med Ctr, Chicago, IL 60612 USA

[4] Washington Univ, Barnes Jewish Hosp, St Louis, MO 63110 USA

[5] Brigham Hlth, Renal Div, Boston, MA USA

[6] LSU Hlth Shreveport, Sch Med, Shreveport, LA USA

[7] Wayne State Univ, Internal Med, Detroit, MI USA

[8] Weill Cornell Med, New York, NY USA

[9] Houston Methodist Hosp, Houston, TX 77030 USA

[10] Palo Alto Med Fdn, Palo Alto, CA USA

[11] Univ Texas Southwestern Med Ctr Dallas, Dallas, TX 75390 USA

[12] Seton Hall Univ, Hackensack Meridian Sch Med, Nutley, NJ USA

来源：

JOURNAL OF VASCULAR ACCESS | 2020年 / 21卷 / 05期

关键词：

Dialysis access; AV fistula; prosthetic grafts; hand ischemia; steal syndrome; interventional nephrology; REVASCULARIZATION INTERVAL-LIGATION; CARPAL-TUNNEL SYNDROME; SIDE BRANCH LIGATION; ARTERIOVENOUS-FISTULA; STEAL SYNDROME; HAND ISCHEMIA; DIALYSIS ACCESS; UPPER EXTREMITY; VASCULAR ACCESS; ARTERIAL STEAL;

D O I：

10.1177/1129729819894774

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

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.

引用

页码：543 / 553

页数：11

共 89 条

[1] Cardiovascular changes occurring with occlusion of a mature arteriovenous fistula [J].