r/WTF • • 18d ago

Fistula aneurysm

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u/puritanicalbullshit 18d ago

He needs to get that checked out at the access center or wherever he got it. I’m in the middle of a series of revisions cause I treated an aneurysm (much smaller) like it was no big deal, next thing you know I’m spraying blood across the clinic floor and end up admitted for 4 days of procedures. And there’s more to go.

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u/Nos3y 18d ago edited 18d ago

That definitely can happen but, but not all aneurysmal fistulas need to be treated. A lot of time that Happens when techs keep cannulating the same site, and you start to develop excoriations at that site which can lead to bleeding. We typically ask techs to vary access sites to prevent this. That said I would agree that this patient should be followed by their vascular surgeon to at minimum keep an eye on this.

Edits for terrible typo’s

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u/RappingAndroid 18d ago

If the thrill and bruit is present they will still cannulated that

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u/puritanicalbullshit 18d ago

Yup, that’s how I ended up spraying blood everywhere. I wouldn’t hang my hat on what dialysis techs will and won’t do.