Investigating the presence of arterial steal syndrome in a patient: a case report

Document Type : Short Communication

Authors

1 Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Science, Mashhad, Iran

10.22038/nnj.2024.77366.1431

Abstract

Introduction and goal:
Chronic kidney failure causes permanent kidney parenchyma damage and complications. Treatment in advanced stages is possible through hemodialysis and kidney transplant, and hemodialysis is the most common treatment method. Arteriovenous vascular access is associated with the risk of dialysis-associated steal syndrome (DASS), which carries complications such as tissue or organ loss and increased mortality. Steele's syndrome or DASS can be treated with prompt identification and management, but there are no objective tests to predict and prevent DASS, and if it occurs, endovascular interventions or various surgeries should be considered.
Materials and methods:
The patient, a 49-year-old man, has an arteriovenous fistula between the radial artery and the cephalic vein in the distal part of the right forearm. Since about a month ago, the patient has had cramps and pain in his hand during hemodialysis. At the time of visit, the patient was suffering from swelling, coldness and numbness in the tips of the fingers and had referred to the hospital's non-invasive examination department for additional examinations.
Findings:
By performing diagnostic tests, the final diagnosis of the vascular specialist was based on carpal tunnel syndrome.
Conclusion:
With the expert's opinion and electrodiagnosis tests, the final diagnosis of carpal tunnel syndrome (CTS) was made and the patient underwent surgery. After surgery, the patient's symptoms improved.

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