Abstract: Objective To investigate the treatment of swelling hand syndrome caused by proximal blockage of autogenous arteriovenous fistula. Methods In the duration from March 2011 to November 2013, we have treated 13 cases of swelling hand syndrome caused by proximal blockage of autogenous arteriovenous fistula in maintenance hemodialysis patients. Nine of the 13 cases had hand ischemia and treated with surgery. All of the 13 case underwent ligation of the arteriovenous fistula. Results The success rate of fistula ligation was 100%. After the ligation, hand swelling disappeared rapidly with gradually improvement of ischemia symptoms. Conclusion Proximal blockage of autogenous arteriovenous fistula caused swelling hand syndrome, and surgical ligation of the fistula effectively eliminated swelling hand and ischemia symptoms.

Key words: arteriovenous fistula, fistula blockage, swolling hand syndrome