RT Journal Article
SR Electronic
T1 Ischaemic neuropathy in uraemic patients caused by bovine arteriovenous shunt.
JF Journal of Neurology, Neurosurgery & Psychiatry
JO J Neurol Neurosurg Psychiatry
FD BMJ Publishing Group Ltd
SP 810
OP 814
DO 10.1136/jnnp.42.9.810
VO 42
IS 9
A1 Bolton, C F
A1 Driedger, A A
A1 Lindsay, R M
YR 1979
UL http://jnnp.bmj.com/content/42/9/810.abstract
AB A bovine shunt, inserted between the radial artery and cephalic vein in the upper arm for access during chronic haemodialysis, caused a distal, ischaemic neuropathy in two patients. There were electrophysiological signs of axonal degeneration of motor and sensory nerve fibres in the patient with severe ischaemia, and, of only sensory fibres in the patient with mild ischaemia. Thenar muscle blood flow studies using 133Xe were a useful measure of altered tissue perfusion. Recovery was incomplete in both cases, despite banding of the graft and improved tissue perfusion in the severe case.