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Blood Loss through AV Fistula: A Case Report and Literature Review Saeed F; Kousar N; Sinnakirouchenan R; Ramalingam VS; Johnson PB; Holley JLInt J Nephrol 2011[]; 2011 (ä): 350870Little 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.ä |
