A patent vascular access is of crucial importance for patients on dialysis. There is no literature describing the success rate and complications of creating dialysis fistulae in a paretic arm. In addition, the risk for non-maturation of dialysis fistula is thought to be high due to the inactivity, muscle atrophy, vascular changes, and higher risk of thrombosis in paretic limbs. Here we describe a case of a successful creation and maturation of a native dialysis fistula.
LokCEHuberTSLeeT, et al. KDOQI clinical practice guideline for vascular access: 2019 update. Am J Kidney Dis2020; 75(4): S1–S164.
2.
FeldmanHIJoffeMRosasSE, et al. Predictors of successful arteriovenous fistula maturation. Am J Kidney Dis2003; 42: 1000–1012.
3.
GrandeNRdos SantosJM.Limb immobilization and intimal hyperplasia – an echo-Doppler study in man. Surg Radiol Anat1999; 21: 23–28.
4.
HopmanMTENommensenEvan AstenWNJC. Properties of the venous vascular system in the lower extremities of individuals with paraplegia. Paraplegia1994;32: 810–816.
5.
BlomJWDoggenCJMOsantoS, et al. Old and new risk factors for upper extremity deep venous thrombosis. J Thromb Haemost2005; 3: 2471–2478.
6.
Al-JaishiAAOliverMJThomasSM, et al. Patency rates of the arteriovenous fistula for hemodialysis: a systematic review and meta-analysis. Am J Kidney Dis2014; 63: 464–478.
7.
OmarMEDaviesNReadyA.Vascular access in a hemiplegic deformed arm. Nephrol Dial Transplant2005; 20: 1989–1990.
8.
BidartYMauryM.The circulatory behaviour in complete chronic paraplegia. Paraplegia1973; 11: 1–24.
