The following was reported to gore: the patient received a fistula for av access at the university hospital of (b)(6) and is sent home to (b)(6) for dialysis at fresenius kidney care.After approximately 2 weeks of dialysis with the fistula, the patient returns to university hospital of (b)(6), as the fistula has become non-functional (unable to be used for dialysis).The fistula is abandoned and the surgeon who created the fistula, implants a gore® acuseal vascular graft on (b)(6) 2020 in the upper arm.The patient returns to hazard, kentucky for dialysis.Patient presented at fresenius kidney care ((b)(6)) for dialysis (b)(6) 2020 (2 days post implant).Two 17 gauge dialysis needles are used to access inflow and outflow of the acuseal graft and the dialysis machine is adjusted to 100ml per minute for the initial time period on dialysis.During the dialysis session the patient complained about arm pain and swelling/hematoma was observed.The patient was sent to (b)(6) medical center er with the two dialysis needles still in the arm.Fasciotomy is performed to control bleeding and to treat compartment syndrome.The er surgeon reported there were no visible problems associated with the gore® acuseal vascular graft and both venous and arterial anastomoses appeared intact.The two dialysis needle cannulation holes were observed on the anterior aspect of the graft.Er surgeon placed a stay-suture on one of the cannulation needle holes of the acuseal graft.On (b)(6) 2020 the later patient returns to university hospital of (b)(6) where a fistula gram is performed by the implanting surgeon.During the procedure the surgeon observed that the gore® acuseal vascular graft was functioning as intended, no outflow stenosis was observed, and that a suture had been placed on one of the needle holes of the graft.The patient is currently recovering and dialyzing through a catheter until the surgeon decides when to initiate cannulation through the acuseal graft.
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