Blood Loss through AV Fistula: A Case Report and Literature Review

Little has been written about acute blood loss from hemodialysis vascular access. We describe a 57-year-old Caucasian male with an approximately 7 gm/dL drop in hemoglobin due to bleeding from a ruptured aneurysm in his right brachiocephalic arteriovenous fistula (AVF). There was no evidence of fistula infection. The patient was successfully managed by blood transfusions and insertion of a tunneled dialysis catheter for dialysis access. Later, the fistula was ligated and a new fistula was constructed in the opposite arm. Aneurysm should be considered in cases of acute vascular access bleeding in chronic dialysis patients

IS CEPC REALLY ACHILLES HEEL; FEARS OVERLOOKED?

Pakistan and China have agreed upon for a mega project One Belt One Road in which is a corridor where Economic prosperity is expected for both countries. This project will link border of Pakistan and China with different other projects of energy and railways with 2000 Kilometer long road. It is considered that this project will be game for changing not only the fate of both associated countries but also for geographically neighbor countries. It will help to improve the trade, economy, resolve energy crises, oil availability, and improving infrastructure as well. But this study establishes to evaluate the challenges with it that can help to policy makers to enjoy more positive results of CPEC in future