Abstract: This review is devoted to critical upper limb ischemia in patients with hemodialysis vascular access. Possible etiological causes of critical ischemia and diagnostic aspects of this pathology are considered. Contemporary approaches of treatment of critical ischemia in this group of patients are demonstrated; indications and contraindications for methods of treatment are discussed. Particular attention has been paid to endovascular method of revascularization of hand, which can become the method of choice in treatment of patients with critical ischemia of the upper limb caused by occlusive lesions of arteries in patients with hemodialysis vascular access. References 1. Vennesland JB, S?reide K, Kval?y JT, et al. A Population-Based Study of Incidence, Presentation, Management and Outcome of Primary Thromboembolic Ischemia in the Upper Extremity. World J Surg. 2019; 43(9): 2320-2327. https://doi.org/10.1007/s00268-019-05023-w 2. 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Abstract: One of complications of using hemodialysis catheters is stenosis or occlusion of central veins. This may cause dysfunction of an ipsilateral arteriovenous fistula in the future. Despite of high restenosis rate - balloon angioplasty is a method of choice. Materials and methods: we present a case report of successful recanalization and balloon angioplasty of left brachiocephalic vein in a patient, undergoing chronic hemodialysis with a functioning arteriovenous fistula on left forearm . Results: the absence of restenosis during a year is an evidence of the effectiveness of this methoc as a treatment of central vein stenosis or occlusion in order to preserve and increase duration of use of permanent vascular access. References
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