Subject(s)
Liability, Legal , Malpractice/legislation & jurisprudence , Physicians , Humans , United StatesABSTRACT
Arteriovenous fistula formation is a rare complication of percutaneous femoral vein cannulation for hemodialysis. Symptoms and physical findings may be elusive and the lesion can proceed unnoticed for extended periods of time. This complication is easily managed with surgical repair following rapid clinical and angiographic diagnosis. It is the purpose of this paper to report a case of delayed arteriovenous fistula formation 7 months following percutaneous insertion of an acute hemodialysis catheter into the femoral vein.
Subject(s)
Arteriovenous Fistula/etiology , Catheterization, Central Venous/adverse effects , Femoral Artery/injuries , Femoral Vein/injuries , Renal Dialysis/adverse effects , Wounds, Penetrating/etiology , Female , Humans , Middle Aged , Time FactorsSubject(s)
Acute Kidney Injury/therapy , Blood , Burns/therapy , Edema/therapy , Ultrafiltration , Acute Kidney Injury/etiology , Adult , Aged , Burns/physiopathology , Catheters, Indwelling , Edema/etiology , Female , Heparin/therapeutic use , Humans , Male , Middle AgedABSTRACT
An unusual mechanism of injury for a central acetabular fracture-dislocation is reported in a patient with chronic renal insufficiency. The combination of renal osteodystrophy and an epileptic seizure resulted in such an injury as a complication of renal dialysis. Skeletal traction and a prolonged period of non-weight bearing produced a satisfactory result.
Subject(s)
Acetabulum/injuries , Epilepsy, Tonic-Clonic/complications , Fractures, Bone/etiology , Joint Dislocations/etiology , Kidney Failure, Chronic/complications , Chronic Kidney Disease-Mineral and Bone Disorder/complications , Chronic Kidney Disease-Mineral and Bone Disorder/etiology , Epilepsy, Tonic-Clonic/etiology , Female , Humans , Kidney Failure, Chronic/therapy , Middle Aged , Renal Dialysis/adverse effectsSubject(s)
Arteriovenous Shunt, Surgical/methods , Polytetrafluoroethylene , Renal Dialysis/methods , Adult , Aged , Female , Humans , Male , Middle AgedSubject(s)
Acute Kidney Injury/chemically induced , Anti-Inflammatory Agents/adverse effects , Fenoprofen/adverse effects , Naproxen/adverse effects , Nephrotic Syndrome/chemically induced , Phenylpropionates/adverse effects , Aged , Anti-Inflammatory Agents/therapeutic use , Arthritis/drug therapy , Drug Hypersensitivity/etiology , Female , Fenoprofen/therapeutic use , Humans , Kidney/pathology , Male , Middle Aged , Naproxen/therapeutic use , Nephritis, Interstitial/chemically induced , Nephritis, Interstitial/pathologyABSTRACT
The preservation of arteriovenous (AV) access site is important to long-term survival of patient's requiring maintenance hemodialysis life-support therapy. Patients with chronic renal failure and uremia who are not suited for immediate application of a subcutaneous AV fistula or arteriovenous graft and who require an initial Teflon-Silastic AV shunt to initiate urgent hemodialysis need not lose these vessels when the AV shunt is removed. After venous maturation, these patients should have a subcutaneous AV fistula created from the uninfected, unclotted shunt before infection or clotting would cause loss of these vessels.
