Peripheral venous hypertension of the hand: A complication of a proximal radial artery arteriovenous fistula

J. E. Anaya-Ayala, K. M. Charlton-Ouw, A. L. Cardon, Eric K. Peden

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Venuous hypertension due to dialysis access is usually secondary to outflow obstruction. The bidirectional proximal radial artery arteriovenous fistula (PRAVF) has been proposed as a procedure to increase autogenous fistula utilization and is rarely reported to cause peripheral venous hypertension. We report here a case of peripheral venous hypertension from a PRAVF, the first report to our knowledge caused by a peripheral outflow obstruction. A proximal occlusion in the medial cephalic vein led to retrograde flow through the median antebrachial vein into the hand. We briefly discuss this complication and considerations of its management in relation to the bidirectional PRAVF creation.

Original languageEnglish (US)
Pages (from-to)64-66
Number of pages3
JournalJournal of Vascular Access
Volume9
Issue number1
DOIs
StatePublished - 2008

Keywords

  • Proximal radial artery-fistula
  • Reversed flow fistula
  • Surgical revision
  • Venous hypertension

ASJC Scopus subject areas

  • Surgery

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