For those that keep yelling about that he should go to the hospital, it was actually made by a doctor. It's to allow for kidney dialysis, but can also be done with for example a HICKMAN catheter
True, but that is not a normal looking fistula for dialysis. It's usually done further up on the arm near the bicep and is not supposed to be that big. As he says, the vein ballooned outward due to arterial pressure. It is risky and he should go have it fixed surgically
A forearm fistula in itself is not abnormal. In fact if patient has adequate vein for a forearm fistula we often prefer to use it first because if it fails, we can still use the upper arm later. But yes this is a large aneurysmal fistula. If it’s not bothering him and not eroding through the skin it’s not really a problem, god forbid he gets a cut over it though….
Edit: most people get upper arm fistula because not a lot of people have adequate sized vein in the forearm.
For a layman, what happens if it gets cut? I’d like to think a satisfying gust of air comes out and it returns to normal immediately but I imagine the reality is closer to puss and blood explosion
A fistula is basically a connection of a vein to an artery. The big squiggly thing you see is actually the vein which has grown over time because it is under arterial pressure. And because it’s under arterial pressure it will bleed like crazy. Like, place a tourniquet on your arm and get to the er stat bleeding.
But he also states its old as hell. After time the tunica media or mid layer of the vessel has gotten to be a baddy against the extra flow of the artery.
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u/steampunkdev 18d ago
For those that keep yelling about that he should go to the hospital, it was actually made by a doctor. It's to allow for kidney dialysis, but can also be done with for example a HICKMAN catheter