Application of Ultrasound-guided Selective Sensory Nerve Block for the Endovascular Treatment of Hemodialysis Fistula in the Forearm

Matsuda, Hiroaki; Oka, Yoshinari; Yoshida, Ryuichi; Katsura, Yuki; Oyama, Takanori; Katsube, Ryoichi; Takatsu, Shigeko; Miyazaki, Masashi

doi:10.5301/jva.5000578

Cited by 4 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…First, US tracing of the peripheral nerve paths that are near and/or provide sensory innervation to the painful lesion are beneficial, to identify whether the nerves contact the outflow vein. Second, diagnostic US-guided selective nerve blocks can achieve pain relief (6,7,10,16). We suggest that nerves that may cause runoff-venous compressive pain in the upper limb are the SRNs, which may be in contact with the cephalic vein at the wrist in the distal forearm, the LACN, which is the terminal of the MCN and may be in contact with the cephalic vein at the antecubital fossa, and the medial antebrachial cutaneous nerve, which may be in contact with the basilic vein in the distal upper arm (8)(9)(10)17).…”

Section: Discussionmentioning

confidence: 99%

“…Second, diagnostic US-guided selective nerve blocks can achieve pain relief (6,7,10,16). We suggest that nerves that may cause runoff-venous compressive pain in the upper limb are the SRNs, which may be in contact with the cephalic vein at the wrist in the distal forearm, the LACN, which is the terminal of the MCN and may be in contact with the cephalic vein at the antecubital fossa, and the medial antebrachial cutaneous nerve, which may be in contact with the basilic vein in the distal upper arm (8)(9)(10)17). One Japanese study reported AVA-related pain that was caused by outflow-venous compression on the LACN in the antecubital fossa and surgically treated using neurolysis without preoperative diagnostic imaging (1).…”

Section: Discussionmentioning

confidence: 99%

“…We speculated that chronic and constant outflow-venous stimulation of the contacted peripheral nerves, such as by venous pressure and thrill from arterial blood inflow, may have caused the pain (1). The pain-causing portions of the peripheral nerves in contact with the superficial veins might be positioned proximally to the sensory-innervated skin region and may also be candidates for injury during venipuncture (10,17).…”

Section: Discussionmentioning

confidence: 99%

“…From the wrist to the elbow, US (HI VISION Avius: Hitachi Aloka Medical, Ltd, Tokyo, Japan) visualization of the SRN was performed by US tracing using the transducer (5-18 MHz) along the short axis (10). At the AV anastomosis, the SRN was adjacent to the outflow cephalic vein (posterior to it) and ran proximally, attached closely to the vein.…”

Section: Ultrasound Visualization Of Peripheral Nerves In the Upper Limbmentioning

confidence: 99%

“…To rule out the causative nerve, we performed US-guided selective nerve blocks on the MCN and SRN using 2.5 mL of 1% lidocaine for each nerve, as described previously (10). First, the MCN was blocked at the axilla without pain relief, but pain was subsequently ameliorated by SRN blockade at the middle of the forearm.…”

Section: Diagnostic Ultrasound-guided Selective Nerve Blocksmentioning

confidence: 99%

See 4 more Smart Citations

Preoperative ultrasound for runoff-venous decompression of peripheral nerves for arteriovenous access-related pain in the upper limb

Matsuda¹,

Oka²,

Yoshida

et al. 2018

J Vasc Access

Self Cite

View full text Add to dashboard Cite

Hemodialysis patients frequently develop upper limb pain, especially following ipsilateral arteriovenous access (AVA). Various etiologies of AVA-related pain include needle ABSTRACT Introduction: Arteriovenous access (AVA)-related pain treated successfully with runoff-venous decompression of the causative nerve, following ultrasound (US)-assisted preoperative evaluation, has never been reported. Case presentation: A 57-year-old man suffering from constant exhausting pains along the outflow cephalic vein of the radiocephalic arteriovenous fistula at the wrist and the antecubital fossa, was treated surgically after the diagnosis of AVA-related pain derived from cephalic vein compression on two peripheral cutaneous nerves, the superficial radial nerve (SRN) and the lateral antebrachial cutaneous nerve (LACN). Technique: The SRN and LACN, which ran along and/or provided sensory innervation to the painful regions in the upper limb, were traced using ultrasonography in the short axis and proved to be compressed by and in contact with veins where the pain existed, at the wrist and the antecubital fossa. Once diagnostic US-guided blocks of both were performed and pain disappeared, they were identified as the causative nerves. The cephalic venous decompression surgeries that separated and transposed the veins away from the SRN and the LACN were performed sequentially under pneumatic tourniquet inflation to improve nerve visualization. Results: The pains disappeared after the operations. An adequate length of the runoff cephalic vein was maintained for needle cannulations during hemodialysis. Conclusions: Outflow venous compression to the peripheral nerves may be a cause of AVA-related pain. USguided assessments of the nerves may improve the safety and efficiency of venous decompression surgeries to treat AVA-related pains.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Ultrasound Visualization Of Peripheral Nerves In the Upper Limbmentioning

confidence: 99%

Section: Diagnostic Ultrasound-guided Selective Nerve Blocksmentioning

confidence: 99%

See 3 more Smart Citations

Preoperative ultrasound for runoff-venous decompression of peripheral nerves for arteriovenous access-related pain in the upper limb

Matsuda¹,

Oka²,

Yoshida

et al. 2018

J Vasc Access

Self Cite

View full text Add to dashboard Cite

show abstract

Ultrasound-Guided Subgluteal Sciatic Nerve Block for Pain Management during Endovascular Treatment for Below-the-Knee Arterial Occlusions

Danışan

Taydaş

2022

Journal of Vascular and Interventional Radiology

View full text Add to dashboard Cite

Lidocaine‐Propitocain Cream, a Eutectic Mixture of Local Anesthetics, Effectively Relieves Pain Associated With Vascular Access Intervention Therapy in Patients Undergoing Hemodialysis: A Placebo‐Controlled, Double‐Blind, Crossover Study

et al. 2019

View full text Add to dashboard Cite

Vascular access intervention therapy (VAIVT) is necessary to maintain vascular access in patients undergoing hemodialysis. VAIVT‐associated vasodilatation is painful. However, few reports have focused on effective pain relief at the time of VAIVT. The present study was performed to determine whether lidocaine‐propitocain cream, a eutectic mixture of local anesthetics (EMLA), effectively reduces VAIVT‐associated pain in patients undergoing hemodialysis. This placebo‐controlled, double‐blind, crossover study was conducted in a single center. Among 210 patients who underwent a total of 437 VAIVT procedures from August 2017 to June 2018, 30 patients were randomly allocated to either the EMLA–placebo arm or placebo–EMLA arm at the time of VAIVT. EMLA application significantly reduced the visual analog scale score compared with placebo (47.0 ± 21.1 vs. 68.6 ± 20.7 mm, respectively; P < 0.05). EMLA is a safe and effective treatment for relief of VAIVT‐associated pain in patients undergoing hemodialysis.

show abstract

Application of Ultrasound-guided Selective Sensory Nerve Block for the Endovascular Treatment of Hemodialysis Fistula in the Forearm

Cited by 4 publications

References 5 publications

Preoperative ultrasound for runoff-venous decompression of peripheral nerves for arteriovenous access-related pain in the upper limb

Preoperative ultrasound for runoff-venous decompression of peripheral nerves for arteriovenous access-related pain in the upper limb

Ultrasound-Guided Subgluteal Sciatic Nerve Block for Pain Management during Endovascular Treatment for Below-the-Knee Arterial Occlusions

Lidocaine‐Propitocain Cream, a Eutectic Mixture of Local Anesthetics, Effectively Relieves Pain Associated With Vascular Access Intervention Therapy in Patients Undergoing Hemodialysis: A Placebo‐Controlled, Double‐Blind, Crossover Study

Contact Info

Product

Resources

About