[Hemorrhagic complication following an external shunt for hemodialysis: a clinical case and a proposed technical procedure for its prevention].
The vascular access for haemodialysis is still a problem not completely solved although surgical experience started more than thirty years ago. Particularly haemorrhagic complications can be dangerous because many patients go home after haemodialysis. The authors report a case in which the disconnection of the conic tip from the shunt cannula for haemodialysis induced an external bleeding, and propose a safety ligature. However, the latter is not necessary for a cannula integrated with the vessel tip.
Istituto di I Clinica Chirurgica, Università degli Studi La Sapienza, Roma.
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Meli
D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D006435:Renal Dialysis
Complicanza emorragica post shunt esterno per emodialisi: caso clinico e proposta di un accorgimento tecnico di prevenzione.