Ischaemic Monomelic Neuropathy in a Diabetic Patient after Brachio-Basilic Arteriovenous Fistula Creation

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Ischaemic Monomelic Neuropathy in a Diabetic Patient after Brachio-Basilic Arteriovenous Fistula Creation

Introduction: The number of people with diabetes is increasing in every country. Recent estimates put the prevalence at 8.3% of adults, with a predicted rise to 10.1 in 2035 [1]. Although less than 1% of patients with diabetes require definitive haemodialysis, this still represents a significant number who may require arteriovenous fistula creation. Presentation: We report a case of IMN occurri...

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Ischaemic monomelic neuropathy in a non-diabetic patient following creation of an upper limb arteriovenous fistula.

The incidence of end-stage renal disease (ESRD) in Australia is estimated at 0.05% of the population. The majority of these patients will choose haemodialysis as the preferred form of renal replacement therapy, requiring creation of an arteriovenous fistula (AVF). The subsequent haemodynamic disturbance can lead to neurological or ischaemic problems. The reported frequency of such complications...

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Ischemic Monomelic Neuropathy after a Brachio-Cephalic AVF Creation: A Case Report and Review of Literature

Ischemic monomelic neuropathy (IMN) is an under-diagnosed and disabling complication of upper extremity hemodialysis access. The hemodynamic disturbance that occurs during the time of access creation can lead to both neurologic and ischemic complications. These complications are most commonly seen following proximal procedures involving the upper limbs. Diagnosis and treatment are often delayed...

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The Brachio-Brachial Arteriovenous Fistula

The autogenous arteriovenous fistula (AVF) is the preferred access for chronic hemodialysis in patients with end-stage kidney disease. Careful examination of the upper extremity is essential for the creation of a successful fistula. The quality of the arterial and venous circulation should be well established prior to surgery. However, there are cases when the superficial venous system of the u...

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One-Stage vs. Two-Stage Brachio-Basilic Arteriovenous Fistula for Dialysis Access: A Systematic Review and a Meta-Analysis

INTRODUCTION A brachiobasilic arteriovenous fistula (BB-AVF) can provide access for haemodialysis in patients who are not eligible for a more superficial fistula. However, it is unclear whether one- or two-stage BB-AVF is the best option for patients. AIM To systematically assess the difference between both procedures in terms of access maturation, patency and postoperative complications. M...

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ژورنال

عنوان ژورنال: Case Reports in Clinical Medicine

سال: 2016

ISSN: 2325-7075,2325-7083

DOI: 10.4236/crcm.2016.56037