Talk Description
477C - Research Paper
Abstract
Case Description:
84 female presented to emergency department with left BB AVF swelling, pain, hematoma, unable to have dialysis.Day of presentation patient attended regular HD treatment at satellite unit, experienced acute pain and left breast swelling on venous needle insertion, unable to progress cannulation and haemodialysis.Patient transferred to acute tertiary hospital for management and treatment.
Discussion:
On arrival to emergency department, urgent chest x-ray, left BB AVF USS performed – demonstrated large hematoma and stent fracture. Angio fistuloplasty intervention demonstrated blown fistula psuedoaneurym on stent site.Fistuloplasty intervention with sedation, Wrapsody covered stent was successfully performed, with needling location sites marked. Patient had haemodialysis treatment following intervention, and inpatient admission post dialysis.
Conclusion:
This case demonstrates the high risk involved with cannulating a vascular access where multiple interventions including stenting have been performed. The importance of AVF assessment, site selection, US guidance for cannulation and resources available in and after hours for immediacy of patient care & intervention when things don’t go to plan.
Abstract
Case Description:
84 female presented to emergency department with left BB AVF swelling, pain, hematoma, unable to have dialysis.Day of presentation patient attended regular HD treatment at satellite unit, experienced acute pain and left breast swelling on venous needle insertion, unable to progress cannulation and haemodialysis.Patient transferred to acute tertiary hospital for management and treatment.
Discussion:
On arrival to emergency department, urgent chest x-ray, left BB AVF USS performed – demonstrated large hematoma and stent fracture. Angio fistuloplasty intervention demonstrated blown fistula psuedoaneurym on stent site.Fistuloplasty intervention with sedation, Wrapsody covered stent was successfully performed, with needling location sites marked. Patient had haemodialysis treatment following intervention, and inpatient admission post dialysis.
Conclusion:
This case demonstrates the high risk involved with cannulating a vascular access where multiple interventions including stenting have been performed. The importance of AVF assessment, site selection, US guidance for cannulation and resources available in and after hours for immediacy of patient care & intervention when things don’t go to plan.