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10.5606/tgkdc.dergisi.2012.028
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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