ASDIN white paper: Assessment and management of hemodialysis access-induced distal ischemia by interventional nephrologists

Gerald A. Beathard, William C. Jennings, Haimanot Wasse, Surendra Shenoy, Dirk M. Hentschel, Kenneth Abreo, Aris Urbanes, George Nassar, Bart Dolmatch, Ingemar Davidson, Arif Asif

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Although not common, hemodialysis access-induced distal ischemia is a serious condition resulting in significant hemodialysis patient morbidity. Patients with signs and symptoms suggestive of hand ischemia frequently present to the general and interventional nephrologist for evaluation. In order to care for these cases, it is necessary to understand this syndrome and its management. Most cases can be managed conservatively without intervention. Some cases requiring intervention may be treated using techniques within the scope of practice of the interventional nephrologists while other cases require vascular surgery. In order for the interventional nephrologists to evaluate and manage these cases in a timely and appropriate manner, practice guidelines are presented.

Original languageEnglish (US)
Pages (from-to)543-553
Number of pages11
JournalJournal of Vascular Access
Volume21
Issue number5
DOIs
StatePublished - Sep 1 2020

Keywords

  • AV fistula
  • Dialysis access
  • hand ischemia
  • interventional nephrology
  • prosthetic grafts
  • steal syndrome

ASJC Scopus subject areas

  • Surgery
  • Nephrology

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    Beathard, G. A., Jennings, W. C., Wasse, H., Shenoy, S., Hentschel, D. M., Abreo, K., Urbanes, A., Nassar, G., Dolmatch, B., Davidson, I., & Asif, A. (2020). ASDIN white paper: Assessment and management of hemodialysis access-induced distal ischemia by interventional nephrologists. Journal of Vascular Access, 21(5), 543-553. https://doi.org/10.1177/1129729819894774