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Clotted Forearm Graft

Posted By Administration, Wednesday, November 20, 2024

Clotted forearm graft with compression at the venous side of graft when examined with sono, patient had marked  venous stenosis and hx of profuse bleeding from cannulation sites prior to clotting.  What are your thoughts?


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Tags:  clotted forearm graft 

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Comments on this post...

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Jalal E. Hakmei says...
Posted Wednesday, November 20, 2024
Depends on time course. If this is early in the graft’s life then stenting might be warranted (Viabahn is best her to situate the venous end above the below joint). Otherwise consider PTA and buy time. That of course assumes a normal brachial vein. If it’s diseased then consider an new access
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Jalal E. Hakmei says...
Posted Wednesday, November 20, 2024
Depends on time course. If this is early in the graft’s life then stenting might be warranted (Viabahn is best her to situate the venous end above the below joint). Otherwise consider PTA and buy time. That of course assumes a normal brachial vein. If it’s diseased then consider an new access
{ Permalink to this Comment }

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Anatole Besarab says...
Posted Wednesday, November 20, 2024
Why was an earlier referral Not made for a hx of profuse bleeding from cannulation sites prior to clotting.?
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Anatole Besarab says...
Posted Wednesday, November 20, 2024
Why was an earlier referral Not made for a hx of profuse bleeding from cannulation sites prior to clotting.?
A Besarab
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Anatole Besarab says...
Posted Wednesday, November 20, 2024
Why was an earlier referral Not made for a hx of profuse bleeding from cannulation sites prior to clotting.?
A Besarab
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Anatole Besarab says...
Posted Wednesday, November 20, 2024
Why was an earlier referral Not made for a hx of profuse bleeding from cannulation sites prior to clotting.?
A Besarab
{ Permalink to this Comment }

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Martin Gorrochategui says...
Posted Wednesday, November 20, 2024
Cause of failed early referral unknown, bedridden patient and transportation issues may have been a factor.
The compressed graft is an image that if not commented at all, is it a complication of back stabbing ?or strong compression following needle removal due to excessive bleeding?
Identification of the lesion helps in the successful cannulation and declotting procedure
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Martin Gorrochategui says...
Posted Wednesday, November 20, 2024
Cause of failed early referral unknown, bedridden patient and transportation issues may have been a factor.
The compressed graft is an image that if not commented at all, is it a complication of back stabbing ?or strong compression following needle removal due to excessive bleeding?
Identification of the lesion helps in the successful cannulation and declotting procedure
{ Permalink to this Comment }

...
Martin Gorrochategui says...
Posted Wednesday, November 20, 2024
Cause of failed early referral unknown, bedridden patient and transportation issues may have been a factor.
The compressed graft is an image that if not commented at all, is it a complication of back stabbing ?or strong compression following needle removal due to excessive bleeding?
Identification of the lesion helps in the successful cannulation and declotting procedure
{ Permalink to this Comment }