DOI: https://doi.org/10.36347/sjmcr.2025.v13i04.011

Pages: 586-589

We report the case of a 72 year-old patient who developed severe steal syndrome after the creation of a humero-cephalic arteriovenous fistula (AVF) for hemodialysis. This case was complicated by necrosis of three digits, necessitating two major surgical interventions: an initial ligation of the AVF and later an amputation of the forearm due to a severe infectious and inflammatory syndrome. The patient’s postoperative course was marked by successful healing of the stump and complete cicatrization by three months. A new radio-radial AVF was constructed on the contralateral side, allowing the patient to continue hemodialysis.