Bülent MERT, Özgür KOCAMAZ, Vedat ERENTUĞ, Nihan KAYALAR, Kamil BOYACIOĞLU

Distal radiosefalik arteriyovenöz fistülde çalma sendromu tedavisi için distal radial arter ligasyonu

Son dönem böbrek yetersizliği nedeniyle hemodiyaliz tedavisi gören hastalarda ortaya çıkan el iskemisi özel bir durumdur. Radiosefalik arteriyovenöz fistülü olan hastalarda çalma sendromu oluşması farklı bir patofizyolojik etyoloji ile oldukça nadirdir. Bu yazıda, distal radial arter ligasyonu yapılan 65 yaşında bir kadın hasta sunuldu. Sağ radiosefalik arteriyovenöz fistül açılan hasta 11 sene sonra ulnar arterden palmar ark yoluyla retrograd olarak arteriyovenöz fistüle şant yapan ve iskemik çalma sendromu oluşturan ve bu nedenle iyileşmeyen sağ el ülseri ile başvurdu.

Distal radial artery ligation for treatment of steal syndrome in a distal radiocephalic arteriovenous fistula

Hand ischemia in patients on hemodialysis treatment due to end-stage renal failure is a special condition. The presence of steal syndrome in patients with a radiocephalic arteriovenous fistula is quite rare with a different pathophysiological etiology. In this article, we present a 65-year-old female patient who underwent distal radial artery ligation. The patient presented with a nonhealing ulcer of her right hand as a result of ischemic steal syndrome 11 years after opening of a right radiocephalic arteriovenous fistula due to shunting from ulnar artery to the arteriovenous fistula retrogradely via palmar arch.

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