Pulmonary embolism following successful thrombectomy of an fistula arteriovenous dialysis thrombectomy of an fistula

被引:15
|
作者
Grebenyuk, L. A. [1 ]
Marcus, R. J. [1 ]
Nahum, E. [1 ]
Spero, J. A. [1 ]
Srinivasa, N. S. [1 ]
McGill, R. L. [1 ]
机构
[1] Allegheny Gen Hosp, Div Nephrol & Hypertens, Pittsburgh, PA 15212 USA
关键词
Arteriovenous fistula; Hemodialysis; Venous thromboembolism; Pulmonary embolism; VENOUS THROMBOEMBOLISM; NATIVE FISTULAS; HEMODIALYSIS; THROMBOLYSIS; UROKINASE; GRAFTS;
D O I
10.1177/112972980901000111
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
A hemodialysis patient was diagnosed with pulmonary embolism, shortly after successful thrombectomy of an autogenous arteriovenous fistula. Diagnostic testing revealed no alternative source for thromboembolism. Increased recognition of hypercoagulability as a common consequence of end-stage renal disease would suggest that dialysis patients would be at risk for thromboembolic events. A fully developed dialysis fistula may have sufficient luminal diameter to harbor subclinical or clinically significant venous thrombi. Clinicians should be alert to the possibility of venous emboli after fistula manipulation. (J Vasc Access 2009; 10: 59-61)
引用
收藏
页码:59 / 61
页数:3
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