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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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          Abstract

          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

          Journal
          BPU
          Blood Purif
          10.1159/issn.0253-5068
          Blood Purification
          S. Karger AG
          0253-5068
          1421-9735
          2020
          May 2020
          17 December 2019
          : 49
          : 3
          : 379-381
          Affiliations
          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 jakob.gubensek@kclj.si
          Article
          504041 Blood Purif 2020;49:379–381
          10.1159/000504041
          31846983
          © 2019 S. Karger AG, Basel

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          Page count
          Figures: 1, Pages: 3
          Categories
          Case Report

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