Clotting of AV fistula

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Background

  • AV shunt/fistula for dialysis

Clinical Features

  • Hard clot palpated in normally soft AV shunt
  • Lessoned or abscent thrill

Differential Diagnosis

Workup

  • Consider US of AV shunt
  • CBC
  • Chem 7
  • PT/PTT

Management

  • Consider discussing with vascular surgery that placed AV shunt
  • Consult Interventional Radiology for clot thrombolysis

Disposition

See Also

External Links

Sources

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