{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:03:35Z","timestamp":1789167815676,"version":"build-2803163510"},"reference-count":55,"publisher":"SAGE Publications","issue":"9_suppl","license":[{"start":{"date-parts":[[2015,3,1]],"date-time":"2015-03-01T00:00:00Z","timestamp":1425168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:p>Neurological problems are common in patients undergoing haemodialysis. Over 60% of patients will suffer from symptoms of underlying polyneuropathy due to uraemia or diabetes. Others will have subclinical disease demonstrable by nerve conduction studies.<\/jats:p>\n                  <jats:p>Nerve injury following haemodialysis access surgery is underreported. However, sensory nerve lesions are probably common after most vascular access procedures but are rarely debilitating.<\/jats:p>\n                  <jats:p>Nerve compression syndromes such as carpal tunnel and ulnar compression syndromes are common, especially in patients who have been on dialysis for some years and at least some of these are related to or exacerbated by the access. Recognition is essential as they are eminently treatable by decompression surgery. Tourniquet use appears to be safe for carpal tunnel or ulnar nerve decompression surgery.<\/jats:p>\n                  <jats:p>Ischaemic monomelic neuropathy (IMN) is rare but follows a period of ischaemia during or as a result of access surgery, most commonly to construct a brachial arteriovenous fistula or graft. It is characterised by intense pain, out of proportion to any ischaemia, involves all of the upper limb nerves and may progress to involve the motor nerves eventually resulting in a useless clawed hand. It requires prompt treatment of any residual ischaemia after access creation, if necessary by access ligation, as in the established syndrome, like the even rarer complication of reflex sympathetic dystrophy, it is very difficult to offer any useful treatment other than symptomatic relief and physiotherapy.<\/jats:p>","DOI":"10.5301\/jva.5000342","type":"journal-article","created":{"date-parts":[[2015,3,9]],"date-time":"2015-03-09T12:28:40Z","timestamp":1425904120000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Neurological Complications of Vascular Access"],"prefix":"10.1177","volume":"16","author":[{"given":"Christopher P.","family":"Gibbons","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Morriston Hospital, Swansea - UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,8,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20713"},{"key":"e_1_3_2_3_2","first-page":"155","article-title":"Uraemic neuropathy: a review.","volume":"3","author":"Ram\u00edrez B.V.","year":"2012","unstructured":"Ram\u00edrezB.V., G\u00f3mezP.A.B.. Uraemic neuropathy: a review. Int J Genet Mol Biol. 2012; 3: 155\u2013160.","journal-title":"Int J Genet Mol Biol."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.65.6.810"},{"issue":"2","key":"e_1_3_2_5_2","first-page":"107","article-title":"Uremic neuropathy and the analysis of electrophysiological changes.","volume":"41","author":"Mansouri B.","year":"2001","unstructured":"MansouriB., AdybeigB., RayeganiM., YasamiS., BehshadV.. Uremic neuropathy and the analysis of electrophysiological changes. Electromyogr Clin Neurophysiol. 2001; 41(2): 107\u2013115.","journal-title":"Electromyogr Clin Neurophysiol."},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.77.909.451"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00691331"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100023453"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0303-8467(90)90014-V"},{"issue":"5","key":"e_1_3_2_10_2","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1111\/j.0954-6820.1973.tb19470.x","article-title":"The peripheral nerve function in chronic renal failure. V. Sensory and motor conduction velocity.","volume":"194","author":"Nielsen V.K.","year":"1973","unstructured":"NielsenV.K.. The peripheral nerve function in chronic renal failure. V. Sensory and motor conduction velocity. Acta Med Scand. 1973; 194(5): 445\u2013454.","journal-title":"Acta Med Scand."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2013.06.022"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2013.08.023"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2002.00117.x"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-2007"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2003.10.007"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02017415"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-139x.2000.00082.x"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-865692"},{"issue":"2","key":"e_1_3_2_19_2","first-page":"412","article-title":"Postoperative edema after vascular access causing nerve compression secondary to the presence of a perineuronal lipoma: case report.","volume":"50","author":"Goldstein L.J.","year":"2002","unstructured":"GoldsteinL.J., HelfendL.K., KordestaniR.K.. Postoperative edema after vascular access causing nerve compression secondary to the presence of a perineuronal lipoma: case report. Neurosurgery. 2002; 50(2): 412\u2013413, discussion 414.","journal-title":"Neurosurgery."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2011.05.004"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2009.05.006"},{"issue":"3","key":"e_1_3_2_22_2","first-page":"142","article-title":"Peripheral nerve compression by brachial artery-basilic vein vascular access in long-term hemodialysis.","volume":"65","author":"Reinstein L.","year":"1984","unstructured":"ReinsteinL., ReedW.P., SadlerJ.H., BaugherW.H.. Peripheral nerve compression by brachial artery-basilic vein vascular access in long-term hemodialysis. Arch Phys Med Rehabil. 1984; 65(3): 142\u2013144.","journal-title":"Arch Phys Med Rehabil."},{"issue":"2","key":"e_1_3_2_23_2","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1136\/rapm-00115550-199621020-00013","article-title":"Brachial plexus neuropathy following attempt at subclavian vein catheterization. Case report.","volume":"21","author":"Trentman T.L.","year":"1996","unstructured":"TrentmanT.L., RomeJ.D., MessickJ.M.Jr.. Brachial plexus neuropathy following attempt at subclavian vein catheterization. Case report. Reg Anesth. 1996; 21(2): 163\u2013165.","journal-title":"Reg Anesth."},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.1998.v31.pm9531188"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1479-666X(08)80092-3"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g6437"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.08.067"},{"issue":"198","key":"e_1_3_2_28_2","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1097\/00003086-198509000-00029","article-title":"Results of carpal tunnel release in renal hemodialysis patients.","author":"Teitz C.C.","year":"1985","unstructured":"TeitzC.C., DeLisaJ.A., HalterS.K.. Results of carpal tunnel release in renal hemodialysis patients. Clin Orthop Relat Res. 1985; (198): 197\u2013200.","journal-title":"Clin Orthop Relat Res."},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/13.5.1226"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(83)80006-4"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000172893.59458.8a"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0350-7"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(88)80082-9"},{"issue":"10","key":"e_1_3_2_34_2","first-page":"905","article-title":"Evaluation of ulnar neuropathy on hemodialysis patients.","volume":"17","author":"Vahdatpour B.","year":"2012","unstructured":"VahdatpourB., MaghrooriR., MortazaviM., KhosrawiS.. Evaluation of ulnar neuropathy on hemodialysis patients. J Res Med Sci. 2012; 17(10): 905\u2013910.","journal-title":"J Res Med Sci."},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.3109\/03009749409103731"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_87_90191-4"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163030-00009"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_88_90166-0"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.45.12.1007"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(89)80098-X"},{"issue":"5","key":"e_1_3_2_41_2","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1016\/0266-7681(94)90133-3","article-title":"Cubital tunnel syndrome in a patient in long-term haemodialysis.","volume":"19","author":"Konishiike T.","year":"1994","unstructured":"KonishiikeT., HashizumeH., NishidaK., InoueH., MoriwakiK.. Cubital tunnel syndrome in a patient in long-term haemodialysis. J Hand Surg [Br]. 1994; 19(5): 636\u2013637.","journal-title":"J Hand Surg [Br]."},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200206000-00078"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/6.10.734"},{"key":"e_1_3_2_44_2","first-page":"410","volume-title":"Hamilton Bailey's demonstration of physical signs in clinical surgery.","author":"Clain A.","year":"1973","unstructured":"ClainA., ed. Hamilton Bailey's demonstration of physical signs in clinical surgery. 5th Ed. Bristol: John Wright and Sons. 1973. Ch XXVII: 410\u2013424.","edition":"5"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2014.08.005"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/13.3.784"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(12)80105-3"},{"key":"e_1_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/14.2.297"},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2006.05.018"},{"key":"e_1_3_2_50_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-010-9740-9"},{"key":"e_1_3_2_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.08.014"},{"key":"e_1_3_2_52_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02017415"},{"key":"e_1_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.43.6.1126"},{"key":"e_1_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.33.4.447"},{"key":"e_1_3_2_55_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2007.07.009"},{"key":"e_1_3_2_56_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2011.05.012"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/jva.5000342","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:28:52Z","timestamp":1767659332000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/jva.5000342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3]]},"references-count":55,"journal-issue":{"issue":"9_suppl","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.5301\/jva.5000342"],"URL":"https:\/\/doi.org\/10.5301\/jva.5000342","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3]]}}}