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

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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

Journal ID (publisher-id): BPU

Journal ID (nlm-ta): Blood Purif

Journal ID (doi): 10.1159/issn.0253-5068

Title: Blood Purification

Publisher: S. Karger AG

ISSN (Print): 0253-5068

ISSN (Electronic): 1421-9735

Publication date Subscription-year: 2020

Publication date (Print): May 2020

Publication date (Electronic): 17 December 2019

Volume: 49

Issue: 3

Pages: 379-381

Affiliations

[_a] _aDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia

[_b] _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

Publisher ID: 504041 Other ID: Blood Purif 2020;49:379–381

DOI: 10.1159/000504041

PubMed ID: 31846983

SO-VID: 217eceee-77c4-4d9c-baa7-640fd48e9822

License:

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

History

Date received : 17 September 2019

Date accepted : 10 October 2019

Page count

Figures: 1, Pages: 3

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