Hemorrhage of AV fistula
Revision as of 06:09, 12 December 2014 by Rossdonaldson1 (talk | contribs) (Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ==Workup== ==Management== ==Disposition== ==See Also== *Dialysis complications ==External Links== =...")
Background
Clinical Features
Differential Diagnosis
Workup
Management
Disposition
See Also
External Links
Sources
Hemorrhage of AV fistula
- Potentially life-threatening
- Can result from aneurysms, anastomosis rupture, or over-anticoagulation
- Control bleeding w/ pressure applied to puncture site for 5-10min; observee for 1-2hr
- Types
- Aneursym (true)
- Most are asymptomatic; rarely rupture
- Pseudoaneurysm
- Results from subcutaneous extravasation of blood from puncture sites
- Bleeding from puncture site is usually controlled by digital pressure or subq suture
- Consider vascular surgery consultation for continued bleeding or infection
- Arterial Doppler US studies can identify the aneurysm or pseudoaneurysm
- Aneursym (true)