Venous dissection due to brachiocephalic arteriovenous fistula puncture

Bilgin Emrecan,

doi:10.5606/tgkdc.dergisi.2012.028

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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