[Hemorrhagic complication following an external shunt for hemodialysis: a clinical case and a proposed technical procedure for its prevention]. / Complicanza emorragica post shunt esterno per emodialisi: caso clinico e proposta di un accorgimento tecnico di prevenzione.

ABSTRACT

The vascular access for haemodialysis is still a problem not completely solved although surgical experience started more than thirty years ago. Particularly haemorrhagic complications can be dangerous because many patients go home after haemodialysis. The authors report a case in which the disconnection of the conic tip from the shunt cannula for haemodialysis induced an external bleeding, and propose a safety ligature. However, the latter is not necessary for a cannula integrated with the vessel tip.