Blood Loss through AV Fistula: A Case Report and Literature Review. Int J Nephrol 2011;2011:350870
Date
07/01/2011Pubmed ID
21716705Pubmed Central ID
PMC3118665DOI
10.4061/2011/350870Abstract
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.
