TITLE:
Ischemic Monomelic Neuropathy after a Brachio-Cephalic AVF Creation: A Case Report and Review of Literature
AUTHORS:
Mohamad Taha
KEYWORDS:
Ischemic Monomelic Neuropathy, Steal, Arteriovenous Fistula
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.7 No.3,
March
14,
2017
ABSTRACT: Ischemic monomelic neuropathy (IMN) is an under-diagnosed
and disabling complication of upper extremity hemodialysis access. The hemodynamic
disturbance that occurs during the time of access creation can lead to both
neurologic and ischemic complications. These complications are most commonly
seen following proximal procedures involving the upper limbs. Diagnosis
and treatment are often delayed, and even with early intervention, neurologic
dysfunction may be irreversible. IMN can lead to significant long-term
disability. Almost all cases of IMN occur with brachial artery-based
access, procedures and the vast majority of patients are diabetic and females. I
report a case of IMN after left BC AVF
operation which was treated successfully by early access ligation,
providing a review of the literature.