Grebenyuk L A, Marcus R J, Nahum E, Spero Ja, Srinivasa N S, McGill R L
Division of Nephrology and Hypertension, West Penn Allegheny Health System, Allegheny General Hospital, Pittsburgh, PA, USA.
J Vasc Access. 2009 Jan-Mar;10(1):59-61. doi: 10.1177/112972980901000111.
A hemodialysis patient was diagnosed with pulmonary embolism, shortly after successful thrombectomy of an autogenous arteriovenous fistula. Diagnostic testing revealed no alternative source for thromboembolism. Increased recognition of hypercoagulability as a common consequence of end-stage renal disease would suggest that dialysis patients would be at risk for thromboembolic events. A fully developed dialysis fistula may have sufficient luminal diameter to harbor subclinical or clinically significant venous thrombi. Clinicians should be alert to the possibility of venous emboli after fistula manipulation.
一名血液透析患者在自体动静脉内瘘成功进行血栓清除术后不久被诊断为肺栓塞。诊断性检查未发现血栓栓塞的其他来源。对终末期肾病常见的高凝状态认识的增加表明，透析患者有发生血栓栓塞事件的风险。一个成熟的透析内瘘可能有足够的管腔直径来容纳亚临床或具有临床意义的静脉血栓。临床医生应警惕内瘘操作后发生静脉栓塞的可能性。
