Hemodialysis access in a patient with severe hemophilia: Technical challenges
A case report on the challenges in establishing hemodialysis access for a hemophiliac with factor VIII inhibitors. A 23-year-old male patient, a known case of congenital Hemophilia A for 6 months of age, presented with recurrent hemarthroses, uncontrolled hypertension, and azotemia; on evaluation, h...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Vascular and Endovascular Surgery |
| Subjects: | |
| Online Access: | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2018;volume=5;issue=1;spage=56;epage=59;aulast=Manivannan |
| Summary: | A case report on the challenges in establishing hemodialysis access for a hemophiliac with factor VIII inhibitors. A 23-year-old male patient, a known case of congenital Hemophilia A for 6 months of age, presented with recurrent hemarthroses, uncontrolled hypertension, and azotemia; on evaluation, he was diagnosed to be suffering from chronic kidney disease. He was on factor VIII supplementation for hemophilia and was recently diagnosed with factor VIII inhibitors as he was becoming refractory to treatment. The hemodialysis access for this patient is technically challenging as the patient has blood dyscrasia. Herein discussing the choices we had in this patient and challenges faced by us in securing the hemodialysis access. |
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| ISSN: | 0972-0820 2394-0999 |