Journal of Yeungnam Medical Science

Case report

Ischemic monomelic neuropathy following arteriovenous fistula surgery: a case report: Da Woon Kim, You Hyun Jeon, Miju Bae, Sang Heon Song; Received August 22, 2024 Accepted October 2, 2024 Published online November 11, 2024; DOI: https://doi.org/10.12701/jyms.2024.00948 [Epub ahead of print]

191 View
7 Download

Abstract PDF: Ischemic monomelic neuropathy (IMN) is an uncommon complication of arteriovenous fistula (AVF) surgery that presents with pain, motor weakness, and sensory changes without critical ischemia. This report describes a rare case of successful IMN treatment after AVF surgery. A 61-year-old man with diabetic end-stage kidney disease was admitted for left brachiocephalic AVF surgery. Postoperatively, the patient complained of pain, motor weakness, and numbness in the left hand. However, the radial pulse remained palpable, and the overlying skin remained intact. A nerve conduction study above the wrist revealed reduced compound muscle action potential (CMAP) of the left ulnar nerve and no CMAP of the left median nerve. This study also showed the absence of sensory amplitude in both the left median and left ulnar nerves. Therefore, the patient was diagnosed with IMN. Proximalization of the arterial inflow surgery was performed to redistribute blood flow while maintaining the AVF. The patient’s neurological symptoms resolved postoperatively. Various conditions can cause hand pain after AVF surgery; however, IMN has rarely been reported. A multidisciplinary approach is needed to avoid this rare complication in patients presenting with hand pain after AVF surgery.

Case Report

Successful transradial intervention via a radial recurrent artery branch from the radioulnar alpha loop using a sheathless guiding catheter: Shin-Eui Yoon, Sangwook Park, Sung Gyun Ahn; Yeungnam Univ J Med. 2018;35(1):94-98. Published online June 30, 2018; DOI: https://doi.org/10.12701/yujm.2018.35.1.94

11,122 View
35 Download
1 Crossref

The radial artery is generally the preferred access route in coronary angiography and coronary intervention. However, small size, spasm, and anatomical variations concerning the radial artery are major limitations of transradial coronary intervention (TRI). We describe a successful case involving a patient with coronary artery disease who underwent TRI via a well-developed radial recurrent artery branch from the radioulnar alpha loop using a sheathless guiding catheter.

Citations

Citations to this article as recorded by

Minimizing Guidewire Unwilling Passage and Related Perforation During Transradial Procedures: Prevention Is Better Than Cure
Lili Xu, Jiatian Cao, Meng Zhang, Hongbo Yang, Zheyong Huang, Yanan Song, Chenguang Li, Yuxiang Dai, Kang Yao, Xiangfei Wang, Feng Zhang, Juying Qian, Junbo Ge
Frontiers in Cardiovascular Medicine.2022;[Epub] CrossRef

First
Prev
Page of 1
Next
Last

Search