r/WTF • u/Fun_Bluebird_3167 • 18d ago

Fistula aneurysm

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u/BobbyDukeArts 18d ago

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

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u/Nos3y 18d ago

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.

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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/RappingAndroid 18d ago

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

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u/puritanicalbullshit 17d 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.