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. 2011:2011:350870.
doi: 10.4061/2011/350870. Epub 2011 May 30.

Blood Loss through AV Fistula: A Case Report and Literature Review

Fahad Saeed  1 , Nadia Kousar, Ramapriya Sinnakirouchenan, Vijaya S Ramalingam, Philip B Johnson, Jean L Holley
Affiliations

Blood Loss through AV Fistula: A Case Report and Literature Review

Fahad Saeed et al. Int J Nephrol. 2011.

Abstract

Little has been written about acute blood loss from hemodialysis vascular access. We describe a 57-year-old Caucasian male with an approximately 7 gm/dL drop in hemoglobin due to bleeding from a ruptured aneurysm in his right brachiocephalic arteriovenous fistula (AVF). There was no evidence of fistula infection. The patient was successfully managed by blood transfusions and insertion of a tunneled dialysis catheter for dialysis access. Later, the fistula was ligated and a new fistula was constructed in the opposite arm. Aneurysm should be considered in cases of acute vascular access bleeding in chronic dialysis patients.

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Figures

Figure 1
Figure 1
Right upper arm AV fistula aneurysm of the patient. Size is approximately 6 × 3 cm.
See this image and copyright information in PMC

References

    1. Centers for Medicare & Medicaid Services (CMS) HHS. Medicare and Medicaid programs; conditions for coverage for end-stage renal disease facilities. Final rule. Federal Register. 2008;73:20369–20484. - PubMed
    1. Center for Medicaid and State Operations/Survey & Certification Group: ESRD Interpretive Guidance Update. Tech. Rep. S&C-09-01. Department of Health and Human & Human Services, Centers for Medicare & Medicaid Services; 2008. Baltimore, MD: Department of Health Medicare and Medicaid Programs: Conditions for coverage for endstage renal disease facilities; final rule: rules and regulations, Part II.
    1. Paulson WD, Work J. Controversial vascular access surveillance mandate. Seminars in Dialysis. 2010;23(1):92–94. - PubMed
    1. National Kidney Foundation. KDOQI clinical practice guidelines for vascular access, update 2006. American Journal of Kidney Diseases. 2006;48(supplement 1):S176–S247. - PubMed
    1. Diener HC, Bogousslavsky J, Brass LM, et al. Aspirin and clopidogrel compared with clopidogrel alone after recent ischaemic stroke or transient ischaemic attack in high-risk patients (MATCH): randomised, double-blind, placebo-controlled trial. Lancet. 2004;364(9431):331–337. - PubMed

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