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Side-to-side arteriovenous fistulae established in patients on chronic intermittent hemodialysis can cause venous hypertension. This gives rise to pain, pigmentation and trophic ulcers. Four patients with these complications are described. In three patients, with a fistula between the radial artery and the cephalic vein, the thumb and the second and third fingers were affected. In the fourth patient, with a fistula between the ulnar artery and the basilic vein, the fourth and fifth fingers were involved. This finding suggests segmental venous drainage of the hand. All patients were cured by ligation of the distal vein. An end-of-vein-to-side-of-artery fistula does not cause the complication described, and for this reason is to be preferred.
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
June 1977,
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
September 1997,
Seminars in vascular surgery,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
July 1994,
Journal of the American Academy of Dermatology,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
December 1999,
Bratislavske lekarske listy,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
February 1973,
Zeitschrift fur Kardiologie,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
August 2016,
Annals of biomedical engineering,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
August 1996,
Transplantation proceedings,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
January 2003,
The journal of vascular access,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
March 2004,
Seminars in vascular surgery,
G Kootstra, and
M J Slooff, and
S Meijer, and
A M Tegzess
December 1961,
Polski tygodnik lekarski (Warsaw, Poland : 1960),
