Title:
Low-Density Lipoprotein Apheresis Ameliorated the Digital Gangrene Caused by Repeated Puncture into Subcutaneously Fixed Superficial Brachial Artery in a Hemodialysis Patient

Kenji Tsuchida¹ ;Kenji Tsuchida¹ ;Kenji Tsuchida¹ ;Kenji Tsuchida¹ ;Kenji Tsuchida¹ ;Kenji Tsuchida¹ ;Kenji Tsuchida¹ ;Kenji Tsuchida¹

1. Department of Urology

E-mail address corresponding author:
ktsuchida@msic.med.osaka-cu.ac.jp

Background:
Recently various types of troubles related to hemodialysis vascular access have become common in long-term hemodialysis patients in Japan. These troubles not only decrease in blood flow in vascular access but also caused complicated severe pain, ulcer or gangrene at the distal position of access point. These complications are intractable and disturb the activity of daily life in hemodialysis patients.

Methods:


Results:
We report a case of hemodialysis patient using subcutaneously fixed superficial brachial artery as a vascular access, who suddenly erupted gangrene complicated with severe pain at acroteric end of the second finger and was successfully treated using low-density lipoprotein apheresis LDL-A. This paper shows clinical benefit of LDL-A for the treatment of complicated gangrene caused by vascular access troubles.

Conclusion:


Subject:
Apheresis

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