Fatal Hemorrhage from an Arteriovenous Fistula

In this study, we present two cases of sudden deaths of people with end‐stage kidney with arteriovenous fistulas for long‐term hemodialysis treatment. This procedure is associated with a number of known complications. While stenosis, thrombosis, and infection are well known, lethal hemorrhage from a...

Full description

Saved in:
Bibliographic Details
Published in:Journal of forensic sciences 2018-09, Vol.63 (5), p.1577-1581
Main Authors: Handlos, Petr, Marecová, Klára, Smatanová, Margita, Dvořáček, Igor, Dobiáš, Martin
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
arteriovenous fistula
Arteriovenous Shunt, Surgical - adverse effects
Autopsies
Blood vessels
chronic renal failure
Dialysis
Exsanguination - etiology
Fatal Outcome
Fatalities
Female
Fistula
Forensic pathology
forensic science
Hemodialysis
Hemorrhage
Humans
Infiltration
Inspection
Kidney Failure, Chronic - therapy
Necrosis
Renal Dialysis
sudden death
Thrombosis
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In this study, we present two cases of sudden deaths of people with end‐stage kidney with arteriovenous fistulas for long‐term hemodialysis treatment. This procedure is associated with a number of known complications. While stenosis, thrombosis, and infection are well known, lethal hemorrhage from arteriovenous fistula is much less commonly encountered. Inspection of the bodies at the scene of the death by a medical examiner suggested that the deaths were due to exsanguination. Autopsies revealed visible defects on the front wall of the arteriovenous fistulas. Microscopic examination showed wall necrosis with infiltration of various inflammatory cells. Deaths were due to exsanguination from the ulcerated arteriovenous fistulas in patients with chronic renal failure. Further investigation revealed that complications in the area around the arteriovenous fistulas were known and were being treated until a sudden rupture of the vessels and hemorrhage from the arteriovenous fistulas resulted in the deaths.
ISSN:0022-1198
1556-4029
DOI:10.1111/1556-4029.13730