Ischemic Monomelic Neuropathy after Percutaneous Arteriovenous Fistula Creation

Chorney, Michael A; Marino, Angelo G.; Lozada, Juan Carlos L Perez

doi:10.1016/j.jvir.2020.12.022

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2023

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“…Secondly, long term complications such as steal syndrome, pseudoaneurysm, and high output cardiac failure need further follow-up and characterization. For example, a recent paper reported a case of ischemic monomelic neuropathy in a WavelinQ endoAVF patient, although definitive correlation has not been established ( 43 ). Increased creation and use of endoAVF may additionally reveal other challenges, including the need for widespread education at hemodialysis centers regarding differences in cannulation technique.…”

Section: Future Directionmentioning

confidence: 99%

Endovascular creation of hemodialysis arteriovenous fistulae: the current status and future perspective—a literature review

Li¹,

Reddy²,

Clark³

et al. 2023

Cardiovasc Diagn Ther

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2 million patients are managed with hemodialysis (2).Hemodialysis access options include central venous catheters (CVCs), arteriovenous grafts (AVGs) and arteriovenous fistulae (AVF). Among those, AVF and AVG are preferred over CVC due to the lower risk of infection (3). AVF also have an advantage over AVG with respect to primary and secondary patency rates. However, there are many barriers to AVF use, including long surgical-wait

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Section: Future Directionmentioning

confidence: 99%