title: Blood Loss through AV Fistula: A Case Report and Literature Review.
abstract: Little has been written about acute blood loss from hemodialysis vascular access. We describe a 57-year-old Caucasian male with an approximately 7 gm/dL drop in hemoglobin due to bleeding from a ruptured aneurysm in his right brachiocephalic arteriovenous fistula (AVF). There was no evidence of fistula infection. The patient was successfully managed by blood transfusions and insertion of a tunneled dialysis catheter for dialysis access. Later, the fistula was ligated and a new fistula was constructed in the opposite arm. Aneurysm should be considered in cases of acute vascular access bleeding in chronic dialysis patients.
authors.affiliation: College of Medicine at Urbana-Champaign, University of Illinois, 611 W Park Street, Urbana, IL 61801, USA.
authors.forename: Fahad
authors.initials: F
authors.lastname: Saeed
authors.forename: Nadia
authors.initials: N
authors.lastname: Kousar
authors.forename: Ramapriya
authors.initials: R
authors.lastname: Sinnakirouchenan
authors.forename: Vijaya S
authors.initials: VS
authors.lastname: Ramalingam
authors.forename: Philip B
authors.initials: PB
authors.lastname: Johnson
authors.forename: Jean L
authors.initials: JL
authors.lastname: Holley