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      Distal Arterial Embolization from an Abandoned Native Brachio-Cephalic Fistula: A Case Report

      a , b , a , b , *

      Blood Purification

      S. Karger AG

      Complications, Embolization, Aneurysm, Vascular access, Arterio-venous fistula

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          Abandoned thrombosed arterivenous fistulas are usually left in place with very rare complications. We describe a case of distal embolization from a thrombosed aneurismatic arteriovenous brachiocephalic fistula in a patient who vigorously used the affected arm for pushing his wheelchair. Vigorous physical activity with the hand bearing arteriovenous fistula (AVF) should probably be discouraged even after AVF thrombosis and especially, if the initial part of fistula vein is aneurysmatic. Antiagregation therapy should be considered in such cases.

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          Author and article information

          Blood Purif
          Blood Purification
          S. Karger AG
          May 2020
          17 December 2019
          : 49
          : 3
          : 379-381
          aDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia
          bFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
          Author notes
          *Assoc. prof. Jakob Gubensek, MD, PhD, Department of Nephrology, University Medical Center Ljubljana, Zaloska cesta 7, 1000 Ljubljana (Slovenia), E-Mail
          504041 Blood Purif 2020;49:379–381
          © 2019 S. Karger AG, Basel

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          Figures: 1, Pages: 3
          Case Report


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