ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Venous dissection due to brachiocephalic arteriovenous fistula puncture
Bilgin Emrecan1, Osman Yaşar Işıklı1, Nihal Kandemir2, Aydın Çiftçi3
1Departments of Cardiovascular Surgery, Medicine Faculty of Pamukkale University, Denizli
2Departments of Radiology, Medicine Faculty of Pamukkale University, Denizli
3Denizli Medical Dialysis Center, Hemodialysis Unit, Denizli
DOI : 10.5606/tgkdc.dergisi.2012.028
Arteriovenous fistula is the most important vascular access for hemodialysis for chronic renal disease. It is quite easy to puncture the fistula when hemodialysis is needed. On the other hand, it is more difficult to cannulate the native fistulas than the grafts; therefore, puncture-related complications occur more in the native fistulas. These complications are hematoma, aneurysm formation, thrombosis, and venous wall dissection during hemodialysis, although this is extremely rare. A 48-yearold male patient with end-stage renal disease had venous wall dissection diagnosed by ultrasonography. This case report presents this rare pathology in a case treated with supportive measures.
Keywords : Arteriovenous fistula; axillary vein; complication; hemodialysis
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