blood loss through av fistula a case report and literature review失血通过av瘘病例报告和文献综述.pdfVIP

SAGE-Hindawi Access to Research International Journal of Nephrology Volume 2011, Article ID 350870, 6 pages doi:10.4061/2011/350870 Review Article Blood Loss through AV Fistula: A Case Report and Literature Review Fahad Saeed, Nadia Kousar, Ramapriya Sinnakirouchenan, Vijaya S. Ramalingam, Philip B. Johnson, and Jean L. Holley College of Medicine at Urbana-Champaign, University of Illinois, 611 W Park Street, Urbana, IL 61801, USA Correspondence should be addressed to Fahad Saeed, fahadsaeed20@ Received 3 January 2011; Revised 10 March 2011; Accepted 24 March 2011 Academic Editor: Greg Tesch Copyright © 2011 Fahad Saeed 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. 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. 1. Introduction when he underwent an AV fistulogram due to decreased dialysis clearance. The fistulogram identified two areas of Acute blood loss through vascular access can be a life venou