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Risk of Heparin-induced Immediate-type Hypersensitivity during Arteriovenous Fistula Placement

Katsuhito Ihara1, Atsuki Ohashi1, Seiji Inoshita1

  • 1Department of Internal Medicine, Tokyo Metropolitan Bokutoh Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|March 13, 2018
PubMed

Heparin is commonly used to prevent clotting; however, severe hypersensitivity reactions during vascular access (VA) placement are rarely but occasionally reported. A 49-year-old man experienced a heparin-induced hypersensitivity reaction during VA placement. Severe side effects may occur even while placing the VA; therefore, we reconsidered the routine use of heparin, as the side effects are unpredictable. Physicians should be aware of the risk of heparin-induced hypersensitivity and be ready to effectively manage it during VA placement.

Keywords:
end-stage renal diseaseheparin-induced hypersensitivityvascular access placement

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