Control bleeding with pressure applied to puncture site for 5-10min; observe for 1-2hr
Utilize fistula clamp to apply small focus of direct pressure
Bulky dressing with allow for continued bleeding
Correct coagulopathy
Protamine sulfate for severe Unfractionated heparin reversal
DDAVP for Uremic bleeding syndrome
Topical thrombin
QuikClot or similar product application
Purse string suture with 3-0 nylon suture
Utilize fistula clamp to apply small focus of direct pressure
Bulky dressing with allow for continued bleeding
Protamine sulfate for severe Unfractionated heparin reversal
DDAVP for Uremic bleeding syndrome
Figure-of-8 stitch with 3-0 nylon or 5-0 prolene
Can attempt desmopressin acetate 0.3 mcg/kg IV
If can not be stopped with above measures, place upper extremity tourniquet and consult vascular surgeon vs IR.
Hemorrhage of AV fistula
Clotting of AV fistula
Infection of AV fistula
Vascular insufficiency from AV fistula
High-output heart failure from AV fistula
AV fistula aneurysm/pseudoaneurysm
Acute arterial ischemia
Missile embolus