Complication of Hemodialysis Access: A Case Report of Venous Hypertension

  • Sadegh Asadi Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
  • Mahmood Hosseinzadeh Maleki Department of Cardiovascular Surgery, Birjand Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.
  • Bibi Fatemeh Shakhs Emampour Department of Anesthesiology, Birjand Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.
  • Morteza Hajihosseini Birjand CardioVascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
  • Majid Jafarnejad Birjand Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Keywords: Venous, Hypertension, Complication

Abstract

Vascular access for dialysis is essential for these patients with end-stage renal disease, improvements in hemodialysis managment have lead to extended life expectancy. The creation and maintenance of hemoaccess occupies a significant portion of most vascular and general surgery practices.Venous hypertension due to arteriovenous fistula is usually secondary to venous outlet obstruction. Side to side proximal artery arteriovenous fistula serves as a certain cause of hemodialysis, but it is rarely reported as a peripheral venous hypertension cause. We are reporting a case with developed venous hypertension having dermal injuries in the arm. The patient underwent successful side-to-side radio cephalic fistula creation in the snuffbox a year ago.

References

Brescia MJ, Cimino JE, Appel K, Hurwich BJ. Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. New England Journal of Medicine. 1966;275(20):1089-92.

Afsharfard A, Mozaffar M, Saberi A, Tadayyon N. Evaluation of efficacy and complications of snuff box arterivenous fistulas in patients with chronic renal failure: ligation versus not ligation of distal vein. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch. 2008;18(4):255-8.

Maleki MH, Noori E, Adhami A, Javadinia SA. Complication of Hemodialysis Access (Pseudoaneurysm): a Case Report. Acta medica Iranica. 2014;52(2):173.

Beigi AA, Masoudpour H, Alavi M. The effect of ligation of the distal vein in snuff-box arteriovenous fistula. Saudi Journal of Kidney Diseases and Transplantation. 2009;20(6):1110.

Published
2018-03-06
How to Cite
1.
Asadi S, Hosseinzadeh Maleki M, Shakhs Emampour BF, Hajihosseini M, Jafarnejad M. Complication of Hemodialysis Access: A Case Report of Venous Hypertension. Acta Med Iran. 56(3):208-209.
Section
Case Report(s)