一例血管内动静脉瘘创建和辅助成熟后的缺血性单膜神经病。

IF 1 4区 医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI:10.1055/s-0043-1769765
Kyle Sonnabend, Simon Park, Ketan Shah, Andrew J Lipnik, Matthew M Niemeyer
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引用次数: 0

摘要

透析通路盗血综合征(DASS)是一种已知会在动静脉瘘或动静脉移植术后发生的现象。DASS 的临床表现以肢体远端动脉血流分流导致的肢体缺血症状为特征。缺血性单膜神经病(IMN)是 DASS 的一种罕见亚型,通常被描述为透析通路建立后出现的急性、孤立的周围神经病变。虽然其潜在的病理生理学尚不完全清楚,但 IMN 的临床表现通常被描述为严重的肢体远端疼痛,进而发展为运动和感觉缺陷。IMN 可在建立透析通路或介入治疗后立即发作。在此,我们介绍一例血管内瘘管辅助成熟后的 IMN 病例。
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A Case of Ischemic Monomelic Neuropathy following Endovascular Arteriovenous Fistula Creation and Assisted Maturation.

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.

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来源期刊
Seminars in Interventional Radiology
Seminars in Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING&nb-
CiteScore
1.90
自引率
7.10%
发文量
58
期刊介绍: Seminars in Interventional Radiology is a review journal that publishes topic-specific issues in the field of radiology and related sub-specialties. The journal provides comprehensive coverage of areas such as cardio-vascular imaging, oncologic interventional radiology, abdominal interventional radiology, ultrasound, MRI imaging, sonography, pediatric radiology, musculoskeletal radiology, metallic stents, renal intervention, angiography, neurointerventions, and CT fluoroscopy along with other areas. The journal''s content is suitable for both the practicing radiologist as well as residents in training.
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