Volkmann's ischemic contracture: An unusual complication of arterio-venous fistula

Hemodial Int. 2017 Jan;21(1):E1-E3. doi: 10.1111/hdi.12444. Epub 2016 Jun 21.

Abstract

Native arterio-venous fistulae (AVF) are vascular access of first choice for chronic hemodialysis. However, AVF are also associated with many adverse events like: primary or secondary failure, infection, lymphedema, stenosis, thrombosis, and ischemia of distal extremities. The most common ischemia related complications of AVF are: ischemic neuropathy and steal syndrome with its consequences like pain and peripheral necrosis. Ischemic muscle contracture is a rare complication of AVF. Herein, we are reporting a case of Volkmann's ischemic contracture developing after creation of brachiocephalic AVF.

Keywords: Arterio-venous fistulae; Vascular access; Volkmann's ischemic contracture.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Arteriovenous Fistula / complications*
  • Humans
  • Ischemic Contracture / etiology*
  • Male
  • Renal Dialysis / adverse effects*