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  • Title: Risk of Heparin-induced Immediate-type Hypersensitivity during Arteriovenous Fistula Placement.
    Author: Ihara K, Ohashi A, Inoshita S.
    Journal: Intern Med; 2018 Aug 15; 57(16):2365-2369. PubMed ID: 29526971.
    Abstract:
    Heparin is commonly used to prevent clotting; however, severe hypersensitivity reactions during vascular access (VA) placement are rarely but occasionally reported. A 49-year-old man experienced a heparin-induced hypersensitivity reaction during VA placement. Severe side effects may occur even while placing the VA; therefore, we reconsidered the routine use of heparin, as the side effects are unpredictable. Physicians should be aware of the risk of heparin-induced hypersensitivity and be ready to effectively manage it during VA placement.
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