Arteriovenous Fistula Percutaneous Flow Reduction: Balloon-Assisted Banding

This chapter discusses the case of a patient with a left upper-arm arteriovenous fistula (AVF) that was referred for evaluation of left hand pain on hemodialysis. A detailed history and physical examination ruled out the possibility of nonischemic hand pain due to carpal tunnel syndrome or neuropathy. Preoperative evaluation revealed poor distal pulses in the left hand, as well as the contralateral arm.