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PUBMED FOR HANDHELDS

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  • Title: Hand Ischemia in a Patient With an Arteriovenous Fistula.
    Author: Yevzlin AS, Chan MR, Asif A.
    Journal: Am J Kidney Dis; 2016 Mar; 67(3):512-5. PubMed ID: 26612279.
    Abstract:
    An ischemic digit causes significant morbidity due to its associated discomfort and potential for tissue necrosis. Historically, when this phenomenon was peripheral to an ipsilateral arteriovenous access in a hemodialysis patient, it was called "steal syndrome" and was usually treated with access ligation, resulting in loss of the access. We present a dialysis patient with hand pain due to ischemia that was referred for access ligation. Instead, a minimally invasive banding procedure was performed that resulted in access salvage and resolution of symptoms. We present images and a discussion of the diagnosis and treatment of distal hypoperfusion ischemia syndrome in this Imaging Teaching Case.
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