⚡️Clinical Case of Acute pain & redness over AVF following ligation of the AVF - by Dr. K.C. Janga @ASDINNews
#ASDIN2021
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#ASDIN2021
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⚡️40 yr. female had a successful kidney transplant 14 months ago
-She presents with enlarging aneurysm of AVF
-On exam AVF was not collapsible on arm elevation test
-As AVF was not being used for dialysis, minimally invasive ligation of AVF was done👇🏽
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-She presents with enlarging aneurysm of AVF
-On exam AVF was not collapsible on arm elevation test
-As AVF was not being used for dialysis, minimally invasive ligation of AVF was done👇🏽
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⚡️5 days later she presented with redness, swelling and pain over the AVF site
-No flow was present in the AVF
-Patient was managed conservatively without the use of antibiotics and her symptoms resolved in 10 days👇🏽
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-No flow was present in the AVF
-Patient was managed conservatively without the use of antibiotics and her symptoms resolved in 10 days👇🏽
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⚡️This is a case of thrombophlebitis due to AVF thrombosis following AVF ligation
-Potential strategies that could reduce the risk of this complication could be:
-Treat AVF outflow stenosis pre-ligation?
-Aspirate thrombus following AVF closure?
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-Potential strategies that could reduce the risk of this complication could be:
-Treat AVF outflow stenosis pre-ligation?
-Aspirate thrombus following AVF closure?
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⚡️What is your strategy to reduce the risk of AVF thrombosis related thrombophlebitis resulting from AVF ligation?
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