Affiliation:
1. Department of Radiology University of British Columbia Vancouver Canada
2. Department of Nephrology Providence Health Care Vancouver Canada
3. Department of Nephrology University of British Columbia Vancouver Canada
Abstract
AbstractNeuropathic pain at the cannulation site is challenging, both for the patient and the dialysis team. We present a case of a middle‐aged man on chronic hemodialysis, who developed excruciating pain at the cannulation area without incident, limiting his dialysis sessions. Multidisciplinary collaboration allowed identification of the cutaneous nerve—the inferior lateral cutaneous nerve of the arm, relaying his pain. Subsequent ultrasound‐guided phenol chemoablation resulted in the complete resolution of his pain and allowed continued use of the well‐functioning fistula for dialysis.
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