PEDIATRICS Vol. 77 No. 5 May 1986, pp. 722-724
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Acquired Arteriovenous Fistulas of the Scalp in Hemophiliacs

Marvin S. Gilbert MD1, James D. Capozzi MD1, and Alice M. Forster RN1

1 From the Department of Orthopaedics, and the Regional Comprehensive Hemophilia Diagnostic and Treatment Center, Mount Sinai Medical Center, New York

The development of arteriovenous fistulas following multiple intravenous infusions in hemophiliacs has been previously reported. In this report, we discuss two patients in whom arteriovenous fistulas developed following the use of scalp veins as sites of infusion. Because of the rich vascularity of this area and the proximity of the arterial and venous systems we recommend that this site not be used for factor infusion.

Key Words: hemophilia • arteriovenous fistula • scalp vein • infusion therapy • factor replacement

Submitted on March 22, 1985
Accepted on June 28, 1985