Nephrologist-performed point-of-care ultrasound enables early recognition of PTFE hemodialysis graft pseudoaneurysm: a case report
José Lascano Contreras · 2026
Read Nephrologist-performed point-of-care ultrasound enables early recognition of PTFE hemodialysis graft pseudoaneurysm: a case report by José Lascano Contreras (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13560330.txt.
Description
José Lascano Contreras tells how bedside ultrasound by the treating nephrologist caught a risky pseudoaneurysm in a dialysis patient's arm graft. His 2026 case report follows a 53-year-old woman on hemodialysis since 2013 for kidney failure caused by lupus nephritis. She arrived with pain, swelling, fever, and a rapidly growing pulsatile lump over her synthetic brachioaxillary graft.
The dialysis-unit scan showed the outpouching connected to the graft through a narrow neck, with the swirling yin-yang flow pattern classic for pseudoaneurysm. Fast proof sped her move to a vessel center, where CT angiography found active contrast leakage. Blood cultures later grew Enterococcus faecium, and scans showed heart valve infection as well. Despite antibiotics, the graft had to come out in surgery marked by severe bleeding. The author argues nephrologist-run ultrasound enables fast spotting of access crises.
Catalog record
| CREATOR | José Lascano Contreras |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 16536 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |