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Av fistula no thrill .
I'm a dialysis patient past 4 years , yesterday after dialysis the arm is normal , but today morning there is no vibration.
Went to nearby hospital
They say need to put another fistula .
What happens if there is no thrill/vibration to the AV fistula in the arm .
.
Is another Fistula the only option . ???
Need a opinion
Answers (1)
If the AV fistula has no thrill or vibration then there could be a clot or a thrombus on the fistula.
In this case we often do a colour Doppler to determine the cause.
Based on the report the present fistula can be salvaged by an interventional radiologist or vascular surgeon
If that's not possible then a new fistula may be needed.
Next Steps
1) Colour Doppler ultrasound of the fistula arm
2) Report to vascular surgeon / Nephrologist with the results.
Health Tips
If salvaging the existing fistula is feasible by removing the clot then this option may be explored.
However this needs to be done ASAP.
Answered
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