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Nephrol Dial Transplant (2004) 19: 1923-1924
Nephrol Dial Transplant Vol. 19 No. 7 © ERA-EDTA 2004; all rights reserved

Teaching Point
(Section Editor: K. Kühn)

Neurological complications from brachial arteriovenous fistulae

Yasmin Reyal, Charlotte Robinson, Alan Salama and Jeremy B. Levy

Renal Unit, Charing Cross Hospital, Faculty of Medicine, Imperial College London, Fulham Palace Road, London W6 8RF, UK

Correspondence and offprint requests to: Dr Jeremy Levy, Renal Section, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK. Email: j.levy@imperial.ac.uk

Keywords: arteriovenous fistula; dialysis access; median nerve; neuropathy

The first 10% of the full text of this article appears below.



   Introduction
 
We report two cases of disabling median nerve compression following haematoma and pseudoaneurysm formation of brachial arteriovenous fistulas (AVF). This is a rare but important complication of dialysis access that requires urgent intervention to prevent permanent disability.



   Case 1
 
A 69-year-old male cardiac transplant recipient with end-stage renal disease secondary to cyclosporin toxicity, presented with a painful swollen right brachial AVF following difficult cannulations over several consecutive dialysis sessions. On inspection there was a tender soft tissue swelling overlying the fistula, but a thrill was still . . . [Full Text of this Article]



   Case 2
 


   Discussion
 


   Teaching points
 

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Median nerve dysfunction from anastomotic calcified aneurysm of a Cimino-Brescia fistula in a long-term dialysis patient
Nephrol. Dial. Transplant., December 1, 2006; 21(12): 3595 - 3596.
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