• Figure 1.

    Photographs of a fistula damaged by cluster cannulation with evidence of wall thinning: the skin is shiny and discolored.

  • Figure 2.

    The fistula was prophylactically repaired using aneurysmorrhaphy.

  • 1

    Ellingson KD, et al.. Vascular access hemorrhages contribute to deaths among hemodialysis patients. Kidney Int 2012; 82:686692.

  • 2

    Gill JR, et al.. Fatal exsanguination from hemodialysis vascular access sites. Forensic Sci Med Pathol 2012; 8:259262.

  • 3

    Fistula First. Cannulation Techniques. Available at http://fistulafirst.org/LinkClick.aspx?fileticket=iAmmV2TH_gY%3d&tabid=150 (Accessed November 15, 2013)

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  • 4

    NKF-KDOQI. III. Clinical Practice Guidelines for Vascular Access: Update 2000. Guidelines 17, 18, 27, 28. Available at http://www.kidney.org/professionals/kdoqi/guidelines_updates/doqi_uptoc.html (Accessed November 15, 2013)

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  • 5

    Balaz P, et al.. Aneurysmorrhaphy is an easy technique for arteriovenous fistula salvage. J Vasc Access 2008; 9:8184.

  • 6

    Fotiadis N, et al.. Endovascular repair of symptomatic hemodialysis access graft pseudoaneurysms. J Vasc Access 2013; doi: 10.5301/jva.5000161.

Hemodialysis Access Rupture

Mohamed Sekkarie
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