A uremic patient with autogenous arteriovenous fistula developed tension blisters after initial puncture.

Tension blisters usually occur in the presence of local swelling or excessive pressure. Tension blisters after puncture injury are relatively rare in uremic patients who use autogenous arteriovenous fistula (AVF) for hemodialysis treatment. In this report, the patient we reported developed tension blisters after the initial puncture injury. Arterial CTA revealed obvious stenosis of the right subclavian vein and the patient was diagnosed with venothoracic outlet syndrome (VTOS). In this case, the occurrence and development of tension blisters after dialysis puncture injury were observed. Furthermore, the etiology, treatment measures, and methods for preventing the occurrence of tension blisters are illuminated to further improve the quality of vascular access.