[Thrombotic occlusion of an arteriovenous Cimino shunt in acute pancreatitis (author's transl)].
An arteriovenous (Cimino) shunt in both right and left forearms clotted during an episode of acute pancreatitis in two patients on chronic haemodialysis. Systemic hypercoagulability (circulating fibrin monomers, shortening of r and k time in the thrombelastogram and shortening of the PTT-time) occurred in association with inhibition of fibrinolysis (prolongation of euglobulin lysis time). Localized thrombosis at the shunt is thought to be due to superimpostition of systemic hyper-coagulability on a local increase in platelet adhesiveness.
D000208:Acute Disease; D000328:Adult; D001166:Arteriovenous Shunt, Surgical; D001778:Blood Coagulation Disorders / Q000150:complications / Q000175:diagnosis; D001780:Blood Coagulation Tests; D005260:Female; D005342:Fibrinolysis; D006801:Humans; D010195:Pancreatitis / Q000150:complications*; D010973:Platelet Adhesiveness; D011183:Postoperative Complications; D006435:Renal Dialysis; D013916:Thrombelastography; D013924:Thrombophlebitis
Thrombotischer VerschluB der (arteriovenösen) Cimino-Fistel bei akuter Pankreatitis