Subscribe to this Thread…
Page 2 of 3 FirstFirst 123 LastLast
Results 11 to 20 of 21
  1. #11
    Junior Member
    Join Date
    Sep 2012
    Posts
    5
    My mother had inflitration last week and they told her is because she keep moving her arm, I think it was bad cannulation.

  2. #12
    Junior Member
    Join Date
    Apr 2012
    Posts
    9
    Infiltrations can be cause by a few things. Movement of the arm can, will and has caused infiltrations. Movement of the arm can displace the needle from it's location and it can either puncture through the fistula or pulled out of the fistula causing the infiltration. But...cannulation technique definitely has caused infiltrations as well. How long has your mum had her AVF? Newly established AVFs will sometimes have a tendency of infiltration if not cannulated by one of the "expert cannulators" at first. Expert cannulators are in the clinic to help facilitate correct cannulating technique on any AVF/AVG and especially newly acquired accesses. Do the infiltrations happen often? I would advice to seek out the expert cannulator of the clinic and speak with the Vascular Access Manager and ask what might have happened and if there are things either the staff or your mum can do to further prevent painful occurences such as infiltrations.

    PS - also make sure the sights are rotated in a ladder format. If you have any further questions don't hesitate to ask and also here's a great site to learn from: http://www.fistulafirst.org/

    Hope this helps

  3. #13
    Member
    Join Date
    Aug 2012
    Posts
    86
    Yesterday, I went to surgeon and he ballooned the artery ro clear away some webbing that was blocking the blood flow. It is not ba painful procedure and relatively quick. I am able to ndo home dialysis today in the fistula, but chose bto wait one more day. When I began Home-Hemo just 27 months ago therte werebonly 3,000 do this kind of dialysis. The number is growing every day. My support team is the best and so diligent, none better banywhere!
    Hope then pain goes away. May the good Lord Jesus give you the strength and wisdom to get whatever is needed done.
    Hoofpkr

  4. #14
    Junior Member
    Join Date
    Dec 2009
    Posts
    5
    If I am correct they call it "Steal hand" syndrome because they "stole" the vein to a certain area. I had a "fistula" in my left wrist that did not take. The veins are to small. They then gave me an "AV Graph" that works awesome. Over 1 year ago I had pain one morning in my arm. My daughter insisted we leave for the E.R. immediately. When all 3 of my doctors showed up I knew it was bad. They had to place a "Tunnel Catheter" in my chest and do a "angioblast" to clean out a clot. Never, EVER, carry ANYTHING in your access arm. No purse, no groceries, no dialysis bag with blanket. Guard it with your life, it IS LITERALLY your lifeline! Stay healthy mentally and look at life "through the eyes of a child." Remember to find beauty in all you see and trust that GOD has us all on watch! Love Lynda, write anytime, I am here for YOU! God Bless, Lynda
    [SIGPIC][

  5. #15
    Senior Member
    Join Date
    Aug 2009
    Posts
    478
    Quote Originally Posted by laken1981 View Post
    Not sure if this is where I should post this, but has anyone had pain in the hand your fistula is in? I have 2 fistulas, one in the wrist, didn't take, 2nd in bicep...above the elbow...I realize the hand will get cold etc. but this week the left ring finger has completely gone numb, and throughout the day there is a severe pain in the tips of my fingers, like you smashed it and the blood is flowing into it... my neph said we'd watch it... and that if it got worse back to the vascular surgeon... anyone had a similar experience?
    Sounds like it may be steal syndrome

    This is where the fistula "steals" the blood supply and it doesnt get to all necessary parts - fingers etc... There are procedures that can help this dependong on the severity. When do you get the numbness ? Is is only during dialysis ? If so, you could be running at too high of a blood flow. If other times, then more likely steal syndrome. They should be able to measure your flow in the fistula to help determine...
    ______________________________
    PD - 13 Years
    3 Transplants
    In-Center Hemo - 6 Months
    NxStage - Since April - 06
    Facebook: Dialysis Discussion Uncensored

    ________________________________

  6. #16
    Senior Member
    Join Date
    Jun 2012
    Posts
    252
    I'm no stranger to infiltrations. During my HHD training with a 9 month old forearm fistula, I experienced 5 infiltrations in the venous portion of the fistula in two weeks. This was with the clinic's expert cannulators. After the fifth infiltrate I was sent to a fistua specialist who "scoped" the fistula and found an 80% stenosis in the vicinity of the anastomosis. The vascular MD "blew out" the stenosis, which led to the development of an array of new fistula branches on top and the back side of my forearm. My clinic started successfully cannulating the new venous portion of the fistula and if a few weeks we were able to go to 15 ga blunts in the two buttonholes they had developed. Cannulating a new fistula even with buttonholes and blunt needles had its challenges (up to 20 minutes in a land, air and sea search for the fistula flap) as the venous portion of the fistula developed. I have had to make sudden changes in needle angle over the first several months, but mercifully the cannulation angles for both buttonholes to access the respective fistula flaps have been stable for the past few months and will remain so as the "new" portion of the fistula is now almost 6 months old and fully mature. Blunt dialysis needles and buttonholes are the way to go for HHD. After alcohol sponging my buttonholes (after the Except has flashed), I get both my needles in, taped, flushed and connected to the arterial and venous lines on the NxStage System 1 and the machine running in 4 minutes and on my way to completing a 2 hr 45 minute, 30 liter treatment. After I'm connected and running, I'll cover both cannulation sites and pull down my sleeve and then route the lines up along my arm and secure with elastic velco bands and then across my chest back to the machine. I can do practically anything I want with my fistula arm with everything secure and virtually unlimited freedom of movement without any fear of infiltrations owed to the blunt needles.

  7. #17
    Member
    Join Date
    Apr 2009
    Posts
    30
    my hubby has been having pains and numbness in his hand during dialysis the last 2 weeks he has had an ultra sound and and fiistulagram and everything looks perfect they dont think it steal syndrome and basically have no explanation for the pain . he has been on dialysis for 2 years and just started with issues the last 2 weeks

  8. #18
    Junior Member
    Join Date
    Sep 2012
    Posts
    2
    is there anything we can do, exercise or anything to help the hand and finger pain and numbness? I don't want to lose my graft and go to the heart. I am on my second operation for blood stealing but it is still pretty bad.
    Last edited by rebel789; 07-22-2013 at 11:19 PM. Reason: more info

  9. #19
    Senior Member
    Join Date
    Jun 2012
    Posts
    252
    It sounds like nerve involvement in these cases of numbness/pain in the hand and fingers. There are nerves/nerve bundles that may run in close proximity to the fistula or graft and the coursing of blood through vessel/graft could very well disturb nearby nerves. When you consider that a fistula develops like a muscle with use, that development could affect nearby nerves at some point in the future or not at all. Re-routing the fistula away from the affected nerve(s) may be possible as well as the nerve(s). In any case it is delicate surgery that could involve complications and/or make the condition worse. Using a different portion of the fistula may be worth consideration.

  10. #20
    Junior Member
    Join Date
    Mar 2014
    Posts
    1
    I have pain in both hands 24/7. The pain began when I had a procedure done to correct what my Drs. were calling "Steals disease". be careful with any procedure on your fistula. The risk of nerve damage is very high.

Page 2 of 3 FirstFirst 123 LastLast

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •