Dialysis Access Steals and Leads to Limb Ischemia

Authors

Supraja Thunuguntla, The University of Texas Rio Grande Valley
Mohammed Rizwan, Bhaskar Medical College
Jose E. Campo Maldonado, The University of Texas Rio Grande Valley

Document Type

Article

Publication Date

4-24-2020

Abstract

Dialysis Access Associated Steal Syndrome (DASS) reported incidence is low, (6.2%) [1]. Symptoms are dialysis induced hand pain, coldness, numbness, sensory loss which can lead to inevitable digital gangrene and amputation if the diagnosis is delayed. Duplex arterial ultrasound and electromyography (EMG) can help differentiate DASS from Ischemic monomelic neuropathy (IMN), a variation of DASS. Treatment options are individualized based on the location of the AV fistula, severity of presentation, presence of anatomical anomalies of involved vasculature. Comprehensive review of literature demonstrates this outcome of finger gangrene in young patients with ESRD is primarily associated with preexisting diffuse vascular disease [2].

Comments

Copyright the Authors.

Recommended Citation

Thunuguntla, S., Rizwan, M., & Campo Maldonado, J. (2020). Dialysis Access Steals and Leads to Limb Ischemia. Archives of Clinical Case Studies, 2(3). https://doi.org/10.33552/ACCS.2020.02.000537

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Publication Title

Archives of Clinical Case Studies

DOI

10.33552/ACCS.2020.02.000537

Academic Level

faculty