{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T11:18:20Z","timestamp":1773832700086,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,11,26]],"date-time":"2013-11-26T00:00:00Z","timestamp":1385424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Arteriovenous fistula (<jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content>) is no longer used in kidney transplant recipients. However, there is no consensus regarding whether or not to ligate a well\u2010functioning <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content> after successful kidney transplantation, particularly in patients with well and stably functioning kidney transplants. Most <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content>s without complications are left in situ and more than one\u2010third of native <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content>s close spontaneously. The currently accepted policy toward thrombosed <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content>s is retention within the patient's extremity without treatment. These thrombosed <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content>s seldom cause serious problems. However, when combined with aneurysmal dilatation of the proximal vein adjacent to the arterial anastomotic area, the <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content> could act as the source of distal arterial emboli. This is very similar clinical scenario to that observed in embolization from a peripheral arterial aneurysm. Here we describe a case report of upper extremity ischemia following massage of a thrombosed aneurysmal <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content>. The patient was successfully treated with a combination of catheter\u2010directed thromboaspiration, thrombolysis, and surgical repair of the thrombosed <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content>. To the best of our knowledge, this is the first report of upper extremity embolism after massage of a thrombosed aneurysmal <jats:styled-content style=\"fixed-case\">AVF<\/jats:styled-content> involving this combined treatment.<\/jats:p>","DOI":"10.1111\/hdi.12118","type":"journal-article","created":{"date-parts":[[2013,11,26]],"date-time":"2013-11-26T09:04:41Z","timestamp":1385456681000},"page":"535-539","source":"Crossref","is-referenced-by-count":4,"title":["Thrombosed hemodialysis access as an unusual source of emboli in the upper extremity of a kidney transplant recipient"],"prefix":"10.1111","volume":"18","author":[{"given":"Mi\u2010Hyeong","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery Seoul St. Mary's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong Kye","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Surgery Daejeon St. Mary's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Jong","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology Seoul St. Mary's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In Sung","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul St. Mary's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Il","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul St. Mary's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,11,26]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/112972980500600405"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/003655902320783890"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V74523"},{"key":"e_1_2_4_5_1","first-page":"312","article-title":"Peripheral arterial embolism: Experiences with 174 treated extremities","volume":"14","author":"Muller\u2010Wiefel H","year":"1973","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(84)90283-6"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2009.11.005"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.146.4.809"},{"key":"e_1_2_4_9_1","first-page":"485","article-title":"Axillary artery aneurysm as an occult source of emboli to the upper extremity","volume":"53","author":"Lee AW","year":"1987","journal-title":"Am Surg"},{"key":"e_1_2_4_10_1","first-page":"199","article-title":"Digital arterial embolism after thrombosis of arteriovenous fistula","volume":"42","author":"Lacombe M","year":"1993","journal-title":"Ann Cardiol Angeiol (Paris)"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2008.00517.x"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nephro.2009.12.002"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.164.6.7754901"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-004-0157-7"},{"issue":"2","key":"e_1_2_4_15_1","first-page":"S84","article-title":"Thrombolysis for the treatment of thrombosed hemodialysis access grafts","volume":"3","author":"Cynamon J","year":"2002","journal-title":"Rev Cardiovasc 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