Distal Hypoperfusion Ischemic Syndrome in a Patient With End-Stage Renal Disease
2024

Distal Hypoperfusion Ischemic Syndrome in a Patient With End-Stage Renal Disease

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Tran Vivie, Olavarria-Bernal Diego, Cordón Ana, Lalmuanpuii Judy

Primary Institution: Texas Tech University Health Sciences Center

Conclusion

The patient's symptoms significantly improved after surgical ligation of the arteriovenous fistula, highlighting the importance of early recognition and intervention in managing distal hypoperfusion ischemic syndrome.

Supporting Evidence

  • Distal hypoperfusion ischemic syndrome is a rare but significant complication in patients with end-stage renal disease undergoing hemodialysis.
  • The patient developed ischemic symptoms despite optimal medical management, requiring surgical intervention.
  • Postoperative improvement in symptoms underscores the need for early recognition and intervention.

Takeaway

A woman with kidney disease had a serious problem with blood flow in her hand due to her dialysis access, but after surgery, her hand got better.

Methodology

This case report details the clinical presentation, diagnosis, and management of a patient with distal hypoperfusion ischemic syndrome.

Limitations

The case report is based on a single patient, limiting the generalizability of the findings.

Participant Demographics

A female patient in her 40s with a complex medical history including diabetes and cardiovascular disease.

Digital Object Identifier (DOI)

10.7759/cureus.74190

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