Our case shows an impending rupture of an arteriovenous fistula that, if left untreated, could have caused catastrophic hemorrhage. Endoaneurysmorrhaphy and plication remain viable treatment modalities to preserve a functional arteriovenous fistula, although this does require a period of temporary dialysis catheter use.

The ulcerated autologous dialysis fistula is a life-threatening lesion and requires prompt surgical intervention to reduce mortality. The frequency of this problem appears to be increasing. Simple suturing of the ulcers was not consistently effective in …

An arteriovenous fistula (AVF) is a crucial life line for patients with end-stage renal failure, and its preservation is paramount. Complications related to AVF such as puncture haematoma, pseudoaneurysm formation, venous hypertension, arterial steal, high-output cardiac failure, and ischemic neuropathy, can not only lead to the early loss of ...

An 80-year-old man presented with painful leg ulceration due to steal phenomenon from a groin arteriovenous fistula (AVF) 10 years following a coronary angiogram. The diagnosis of the AVF was confirmed by duplex examination of the groin vessels which demonstrated characteristic flow pattern in the femoral arterial and venous system.

Nov 1, 2019 · Successful endovascular therapy to the occluded radial artery increased flow to the arteriovenous fistula (AVF), but not to the fingertips. Slightly compressing the AVF augmented the flow and wound blush at the wound sites on the 3rd fingertip, leading to a diagnosis of hemodialysis access-induced distal ischemia (HAIDI).

Introduction: The native arteriovenous fistula (AVF) is the gold standard for long-term hemodialysis access. When native vein options are exhausted, arteriovenous graft (AVG) becomes the next choice. An ulcer over an AVF or AVG is a serious condition with the potential for life-threatening hemorrhage.

Dec 1, 2015 · We report our experience in the management of venous ulcers secondary to an ankle arteriovenous fistula in a hemodialysis patient. Venous ulcer is a recognized complication of lower extremity arteriovenous fistula (AVF). These ulcers usually occur as a result of traumatic groin or thigh AVF.

Feb 19, 2025 · This same patient was found to have an ulcerated area of the arteriovenous (AV) fistula at the cannulation site, extending through the skin to the vessel wall into the cephalic vein portion of the fistula. The surgeon noted that this was the reason for the bleeding.

Impending Arteriovenous Fistula Bleeding With Skin Ulceration Mayo Clin Proc. 2022 Aug;97(8):1577-1580. doi: 10.1016/j.mayocp.2022.05.032. Authors Nolan C Cirillo-Penn 1 , Matthew D Breite 1 , Bernardo C Mendes 1 Affiliation 1 Division of ...

An 85-year-old man with a brachio-cephalic arteriovenous fistula (AVF) with asymptomatic high flow and aneurysms, was hospitalized due to congestive heart failure, growth of aneurysms with exacerbation of skin lesions as well as hand and forearm pain.