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Cardiovascular Surgery and Interventions
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Revision using distal inflow effectively addresses arteriovenous fistula-induced upper limb ischemia without compromising access
2025, Vol 12, Num 3 - Page(s): 239-242
204
143
Zaur Guseinov, Merve Topcu, Fatih Bayraktar, Kocaaslan Cemal, Ebuzer Aydın
Department of Cardiovascular Surgery, Medeniyet University Faculty of Medicine, İstanbul, Türkiye
Keywords: Revision using distal inflow, upper extremity ischemia, brachiobasilic AVF
Arteriovenous fistulas (AVFs) are the preferred vascular access for hemodialysis patients; however, they may lead to ischemic complications such as steal syndrome. A 72-year-old woman with chronic kidney disease developed hand ulcers and coldness following the creation of a left brachiobasilic AVF. The patient underwent a revision using distal inflow (RUDI) procedure. The postoperative fistula was functional with a positive thrill, and the patient was discharged the same day. At the two-week follow-up, increased hand temperature and marked healing of ulcerative lesions were observed. In conclusion, RUDI may offer an effective treatment option in moderate ischemia cases.
2025, Vol 12, Num 3 - Page(s): 239-242
204
143
Zaur Guseinov, Merve Topcu, Fatih Bayraktar, Kocaaslan Cemal, Ebuzer Aydın
Department of Cardiovascular Surgery, Medeniyet University Faculty of Medicine, İstanbul, Türkiye
Keywords: Revision using distal inflow, upper extremity ischemia, brachiobasilic AVF
Arteriovenous fistulas (AVFs) are the preferred vascular access for hemodialysis patients; however, they may lead to ischemic complications such as steal syndrome. A 72-year-old woman with chronic kidney disease developed hand ulcers and coldness following the creation of a left brachiobasilic AVF. The patient underwent a revision using distal inflow (RUDI) procedure. The postoperative fistula was functional with a positive thrill, and the patient was discharged the same day. At the two-week follow-up, increased hand temperature and marked healing of ulcerative lesions were observed. In conclusion, RUDI may offer an effective treatment option in moderate ischemia cases.
DOI : 10.5606/e-cvsi.2025.1959
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