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Semin intervent Radiol 2023; 40(03): 290-293
DOI: 10.1055/s-0043-1769765
Review Article

A Case of Ischemic Monomelic Neuropathy following Endovascular Arteriovenous Fistula Creation and Assisted Maturation

Kyle Sonnabend
1   Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Simon Park
1   Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Ketan Shah
2   Department of Interventional Radiology, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas
,
Andrew J. Lipnik
1   Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
3   Division of Interventional Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Matthew M. Niemeyer
1   Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
3   Division of Interventional Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
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Abstract

Dialysis access steal syndrome (DASS) is a phenomenon known to occur following creation of an arteriovenous fistula or arteriovenous graft. The clinical presentation of DASS is characterized by symptoms of limb ischemia due to diversion of arterial flow from the distal extremity. Ischemic monomelic neuropathy (IMN) is a rare subtype of DASS classically described as an acute, isolated presentation of peripheral neuropathy following dialysis access creation. Although the underlying pathophysiology is not entirely understood, the clinical manifestation of IMN is often described as severe distal limb pain that progresses to motor and sensory defects. The onset of IMN may occur immediately following dialysis access creation or intervention. Here, we present a case of IMN following assisted maturation of an endovascular fistula.

Keywords

ischemic monomelic neuropathy - dialysis access steal syndrome - arteriovenous fistula


Publikationsverlauf

Artikel online veröffentlicht:
20. Juli 2023

© 2023. Thieme. All rights reserved.

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