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Indian Journal of Surgery
Published in: Indian Journal of Surgery 6/2016

01-12-2016 | Images in Surgery

Gangrene of the Hand Following a Haemodialysis Access: Lessons to be Learnt

Authors: Gaurav Aggarwal, Samiran Das Adhikary

Published in: Indian Journal of Surgery | Issue 6/2016

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Abstract

Renal replacement therapy is a “way of life” for patients with chronic kidney disease (CKD), and haemodialysis forms their “lifeline”. Haemodialysis access, via a small surgery, to anastomose an artery and a vein in the arm or forearm, is the universally accepted standard of care. However, even this minor surgical intervention can lead to devastating complications without adequate pre-operative evaluation and apt intra-operative decision making. The following article pictorically exemplifies the most dreaded complication of a gangrenous hand as well as highlights the lessons to be learnt, in order to avoid this infirmity.
Literature
1.
Aggarwal G, Adhikary SD (2015) Vascular-access induced distal limb ischemia—a devastating complication. Surg Chron 20(3):121–122
2.
Scheltinga MR, Van Hoek F, Bruijninckx CM (2009) Time of onset in haemodialysis access-induced distal ischaemia (HAIDI) is related to the access type. Nephrol Dial Transplant 24:3198–3320CrossRefPubMed
3.
Stolic RV, Mijailovic MZ, Cvetkovic AM, Stanojevic MS, Stolic DZ, Cvetkovic DM (2012) Distal ischemia induced by vascular access for hemodialysis—a case report. Hippokratia 4:375–377
4.
Tordoir JH, Dammers R, Van der Sande FM (2004) Upper extremity ischemia and hemodialysis vascular access. Eur J Vasc Endovasc Surg 27:15CrossRef
Metadata
Title
Gangrene of the Hand Following a Haemodialysis Access: Lessons to be Learnt
Authors
Gaurav Aggarwal
Samiran Das Adhikary
Publication date
01-12-2016
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue 6/2016
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-016-1540-8

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