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< Vol. 12 Issue 2 | Apr-Jun 2011 | pp. 113 - 182

Ischemic monomelic neuropathy: a rare but important complication after hemodialysis access placement – a review

Ischemic monomelic neuropathy: a rare but important complication after hemodialysis access placement – a review

J Vasc Access 2011; 12(2): 113 - 119

Article Type: REVIEW

DOI:10.5301/JVA.2011.6365

Authors

Florian Thermann, Malte Kornhuber

Abstract

The creation of a vascular access for hemodialysis is a frequently performed procedure. Ischemic monomelic neuropathy (IMN) is a rare, but important complication of hemodialysis access (HA) procedures, which can lead to severe and nonreversible limb dysfunctions. Therefore, in any case of postoperative neurological malfunction, immediate neurological investigations should be undertaken. If IMN is diagnosed, improvement of distal perfusion should be established without delay. IMN is a form of hemodialysis-associated ischemic syndrome (as the so-called steal syndrome), but experiences with this complication are small. Every case of IMN should be carefully documented and if possible published, to gain more experience about this rare but important complication.

Article History

  • • Accepted on 17/11/2010
  • • Available online on 18/02/2011
  • • Published in print on 12/04/2011

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Authors

  • Thermann, Florian [PubMed] [Google Scholar]
    Department of Vascular Surgery, University Teaching Hospital St. Elisabeth and St. Barbara, Halle - Germany
  • Kornhuber, Malte [PubMed] [Google Scholar]
    Department of Neurology, University of Halle-Wittenberg, Halle - Germany

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