Preventing embolus shedding from an arteriovenous fistula during hemodialysis treatment.

We present a case of a 55-year-old male patient who suffered from a neogenic embolism formation and a sudden embolus detachment during hemodialysis treatment. For this case, the sudden onset of thrombosis formation and embolism detachment were caused by severe dehydration due to diarrhea, which resulted in low blood pressure, pachemia, hyperhemoglobinemia and hypercoagulability. An immediate vessel occlusion was performed as a rescue therapy followed by a thrombectomy at the position of vessel occlusion. The vessel occlusion can lead to better control of embolism detachment and reduce the rate of fatal pulmonary embolism formation. This case also indicates that severe diarrhea and dehydration can cause acute AVF thrombosis during hemodialysis therapy. PMID: 27312749 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research

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AbstractIdiopathic systemic capillary leak syndrome (ISCLS) presents with recurrent potentially life-threatening episodes of hypovolemic shock associated with severe hemoconcentration and hypoproteinemia. Timely recognition is of paramount importance because ISCLS, despite resembling other kinds of hypovolemic shock, requires a peculiar approach, to prevent life-threatening iatrogenic damage. Due to the rarity of this condition with only scattered cases described worldwide, evidence-based recommendations are still lacking. Here, we summarize our 40  years’ experience in treating shock in ISCLS patients to derive...
Source: Internal and Emergency Medicine - Category: Emergency Medicine Source Type: research
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Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
Authors: Suratkal V, Ahmed A Abstract Right atrial thrombi is a serious complication of central venous cannulation although incidence is less as compared to left atrial thrombi.1 Right atrial thrombi develops at anastomotic foci or on injured endothelium, implanted devices or foreign bodies including tumours, pacemakers and indwelling right atrial catheters. They have been associated with triple-lumen catheters for chemotherapy, intravenous fluids or parenteral nutrition, pulmonary artery catheters, hemodialysis and implantable venous access devices.2 Right atrial thrombi can have severe consequences leading to pul...
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
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Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
This study will determine if using an S-ICD compared to a TV-ICD reduces a primary composite outcome of perioperative complications including pulmonary or pericardial perforation, lead dislodgement or dysfunction, tricuspid regurgitation and ipsilateral venous thrombosis. Five hundred patients will be enrolled from 14 Canadian hospitals, and data collected to both early- (at 6 months) and mid-term complications (at 24 months) as well as mortality and ICD shock efficacy.SummaryThe ATLAS randomized trial is comparing early- and mid-term vascular and lead-related complications among S-ICD versus TV-ICD recipients wh...
Source: American Heart Journal - Category: Cardiology Source Type: research
We present the cases of eight patients (mean age 75 years; EuroSCORE II 17.0  ± 22.0) who underwent post-cardiotomy venovenous extracorporeal membrane oxygenation (ECMO) without heparinization due to serious bleeding. Three liver cirrhosis, two chronic hemodialysis, three redo sternotomy, and two urgent surgery cases were included. Respiratory ECMO Survival Prediction s core was − 5.1 ± 4.2 (estimated survival rate: approximately 30%). Mean ECMO duration was 14 days with 9 circuit exchanges. Five patients were weaned from ECMO and three were discharged alive at 90...
Source: General Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
We report the case of a patient undergoing HD through tunneled venous catheter who presented with catheter dysfunction and sepsis and was diagnosed to have CRAT with septic embolism. CRAT formation has a significant association with catheter-related infection. The need for early diagnosis and various treatment options for this entity are highlighted.
Source: Indian Journal of Nephrology - Category: Urology & Nephrology Authors: Source Type: research
​BY ANDRZEJ KIELTYKA, PA; PARDEEP THANDI, MD; &ANUMEHA SINGH, MDA 56-year-old man presented to the emergency department with shortness of breath for one month and pleural effusions on an outpatient chest x-ray. He had been taking adalimumab, methotrexate, and steroids for arthritis and Sjogren's syndrome.A right pleural effusion in a patient with nephrotic syndrome.His monoclonal gammopathy of undetermined significance (MGUS) was monitored annually, but no medical intervention beyond surveillance was required. He had excessive thirst but normal urine output. He noted face and hand swelling in the morning that gave wa...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
Authors: Zhang Z, Zhang D PMID: 29147998 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
CONCLUSION: There is a clinically significant risk of symptomatic PE after arteriovenous access thrombolysis for access thrombosis in HD patients.
. PMID: 28766495 [PubMed - as supplied by publisher]
Source: Clinical Nephrology - Category: Urology & Nephrology Authors: Tags: Clin Nephrol Source Type: research
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