Clotting of AV fistula
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