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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
An unexpected complication of bone marrow aspiration and trephine biopsy: arteriovenous fistula
Ilhami Berber1, Mehmet Ali Erkurt, Irfan Kuku
1Department of Hematology, Faculty of Medicine, Inonu University, Malatya, Turkey.
Objective:
To report a case of arteriovenous fistula (AVF) following bone marrow aspiration and trephine biopsy.
Clinical Presentation And Intervention:
A 76-year-old man was diagnosed with acute myeloblastic leukemia. Pain and hematoma were detected in his left leg and hip 4 days after bone marrow aspiration and trephine biopsy. A pelvic arteriography was performed, and a diagnosis of AVF was made.
Conclusion:
This case shows that clinicians should be aware of AVF, especially in cases with refractory bleeding after bone marrow aspiration and trephine biopsy despite normal blood coagulation parameters.
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