CASE REPORT
Year : 2018  |  Volume : 5  |  Issue : 1  |  Page : 56-59

Hemodialysis access in a patient with severe hemophilia: Technical challenges


1 Department of Vascular Surgery and Endovascular Sciences, TNGMSSH, Chennai, Tamil Nadu, India
2 Institute of Vascular Surgery, Madras Medical College, Chennai, Tamil Nadu, India
3 Department of Vascular Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India
4 Department of Vascular Surgery, Government Stanley Medical College, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Murali Manivannan
Department of Vascular Surgery and Endovascular Sciences, TNGMSSH, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_55_17

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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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