Roel H. D. Vaes, MD, Jan H. Tordoir, MD, PhD, Marc R

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Blood flow dynamics in patients with hemodialysis access-induced hand ischemia Roel H.D. Vaes, MD, Jan H. Tordoir, MD, PhD, Marc R. Scheltinga, MD, PhD Journal of Vascular Surgery Volume 58, Issue 2, Pages 446-451.e1 (August 2013) DOI: 10.1016/j.jvs.2013.01.032 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Peak systolic velocity (PSV) in forearm arteries in dialysis patients with hand ischemia and controls. HAIDI, Hemodialysis access-induced distal ischemia; CONT, control. Journal of Vascular Surgery 2013 58, 446-451.e1DOI: (10.1016/j.jvs.2013.01.032) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Correlation (r = 0.87; P = .01) between mean ulnar artery peak systolic velocity (PSV) and systolic index finger pressure (Pdig) of study patients (hemodialysis access-induced distal ischemia [HAIDI], n = 9; control [CONT], n = 10; data of one HAIDI patient was missing). AVF, Arteriovenous fistula. Journal of Vascular Surgery 2013 58, 446-451.e1DOI: (10.1016/j.jvs.2013.01.032) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Correlation (r = 0.06; P = .81) between mean radial artery peak systolic velocity (PSV) and systolic index finger pressure (Pdig) (hemodialysis access-induced distal ischemia [HAIDI], n = 8, control [CONT] n = 10, data of two HAIDI patient were missing). AVF, Arteriovenous fistula. Journal of Vascular Surgery 2013 58, 446-451.e1DOI: (10.1016/j.jvs.2013.01.032) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 4 Static image of dynamic angiography showing a brachiocephalic (BC) fistula with inflow artery (brachial artery [A1]), ulnar (A2) and radial artery (A3), distended cephalic outflow vein (V) and arterial collaterals bypassing the anastomosis (C1-3). A steal phenomenon was observed in the proximal portion of the radial artery (S) reflecting proper collateral functioning. However, flow direction was antegrade in the remaining portion of the radial as well as in the ulnar artery. Journal of Vascular Surgery 2013 58, 446-451.e1DOI: (10.1016/j.jvs.2013.01.032) Copyright © 2013 Society for Vascular Surgery Terms and Conditions