Management of Hemorrhage from Dialysis Access Site: Our Experience
Journal Title: MGM JOURNAL OF MEDICAL SCIENCES - Year 2018, Vol 5, Issue 3
Abstract
Arteriovenous fistula (AVF) is access to choice for hemodialysis in patients with end-stage renal disease (ESRD). Hemorrhage from the access vein is a known complication. Due to repeated punctures during dialysis, the vein wall may become necrotic and may slough off leading to severe bleeding. It may end fatally if not appropriately managed. We present our experience in 14 patients who reported to our hospital with bleeding from the dialysis access vein site. After excising the necrotic material, the wall of the vein was reconstructed and covered with a skin flap. In 13 patients, we could preserve patency of AVF for future dialysis.
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- EP ID EP587382
- DOI 10.5005/jp-journals-10036-1196
- Views 45
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