Related Experiment Video
Updated: Oct 23, 2025

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Accessory veins related hand ischemia: A case series
Anju Shelar1, Manjunath Maruti Pol1, Manav Manohar1
1Department of Surgical Disciplines, AIIMS, New Delhi, India.
Introduction:
Arteriovenous fistula is considered as a lifeline for chronic kidney patients undergoing maintenance hemodialysis.
Objective:
To study the outcome of ligation of the accessory vein causing hyperperfusion and ischemia of the ipsilateral limb.
Method:
ology: A single institution, single surgeon, in-hospital, retrospective case series of patients presented with alarm symptoms in postoperative period following arteriovenous fistula.
Results:
A total of 800 AVF were created between 2016 and 2019, out of which 6/800 (0.75 %) patients presented with alarm symptoms related to venous hypertension and underwent accessory vein ligation. All showed normal recovery with complete resolution of symptoms postoperatively.
Conclusion:
Timely ligation of the accessory vein in patients with arteriovenous fistula with accessory vein related alarm symptoms showed salvage of lifeline and limb with no residual complications during follow-up.
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