Document Detail

Pulmonary embolism following successful thrombectomy of an arteriovenous dialysis fistula.
MedLine Citation:
PMID:  19340802     Owner:  NLM     Status:  MEDLINE    
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.
L A Grebenyuk; R J Marcus; E Nahum; Ja Spero; N S Srinivasa; R L McGill
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of vascular access     Volume:  10     ISSN:  1129-7298     ISO Abbreviation:  J Vasc Access     Publication Date:    2009 Jan-Mar
Date Detail:
Created Date:  2009-04-02     Completed Date:  2009-05-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940729     Medline TA:  J Vasc Access     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  59-61     Citation Subset:  IM    
Division of Nephrology and Hypertension, West Penn Allegheny Health System, Allegheny General Hospital, Pittsburgh, PA, USA.
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MeSH Terms
Anticoagulants / therapeutic use
Arteriovenous Shunt, Surgical / adverse effects*
Brachial Artery / surgery
Graft Occlusion, Vascular / etiology,  radiography,  surgery*
Kidney Failure, Chronic / therapy
Lower Extremity / blood supply*
Pulmonary Embolism / drug therapy,  etiology*,  radiography
Renal Dialysis
Thromboembolism / etiology,  radiography,  surgery*
Tomography, Spiral Computed
Veins / surgery
Venous Thrombosis / etiology,  radiography,  surgery*
Reg. No./Substance:

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