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The Scientific World Journal
Volume 2013, Article ID 481348, 6 pages
http://dx.doi.org/10.1155/2013/481348
Clinical Study

Carpal Tunnel Release Surgery and Venous Hypertension in Early Hemodialysis Patients without Amyloid Deposits

1Department of Nephrology, Erciyes University Medical Faculty, 38039 Kayseri, Turkey
2Department of Orthopedics and Traumatology, Erciyes University Medical Faculty, 38039 Kayseri, Turkey
3Department of Radiology, Erciyes University Medical Faculty, 38039 Kayseri, Turkey
4Department of Pathology, Erciyes University Medical Faculty, 38039 Kayseri, Turkey
5Department of Neurology, Erciyes University Medical Faculty, 38039 Kayseri, Turkey
6Department of Internal Medicine, Erciyes University Medical Faculty, 38039 Kayseri, Turkey
7Department of Nephrology, Kayseri Training and Research Hospital, 38010 Kayseri, Turkey

Received 27 May 2013; Accepted 25 September 2013

Academic Editors: R. Ando, F. Hinoshita, and R. Sakai

Copyright © 2013 Ismail Kocyigit et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. Carpal tunnel syndrome (CTS) is one of the frequent problems of the patients who underwent hemodialysis (HD). The role of venous hypertension due to arteriovenous fistula (AVF) has not been clarified completely; therefore, we aimed to investigate the role of venous hypertension due to AVF in hemodialysis patients who had CTS. Patients and Methods. We included 12 patients who had been receiving HD treatment for less than 8 years and the newly diagnosed CTS patients with the same arm of AVF. All patients were diagnosed clinically and the results were confirmed by both nerve conduction studies and electromyography. Open carpal tunnel release surgery was performed on all of them. Venous pressure was measured in all patients before and after two weeks of surgery. Results. There were significant differences before and after the surgery with regard to pressures ( ). After the surgery, all carpal ligament specimens of the patients were not stained with Congo red for the presence of amyloid deposition. Conclusion. Increased venous pressure on the same arm with AVF could be responsible for CTS in hemodialysis patients. Carpal tunnel release surgery is the main treatment of this disease by reducing the compression on the nerve.