Abstract: Autogenous arteriovenous fistula (AVF) thrombosis is a common cause of fistula failure in hemodialysis patients. Manual massage is used for emergency treatment of AVF thrombosis due to its simplicity and convenience, but it can lead to complications such as infection, and thrombus detachment, and even endanger lives. We have treated one case with AVF thrombosis. The bacterial emboli in the limb artery were disseminated due to manual massage, accompanied by multiple metastatic abscesses. This is a rare clinical case we reported here.

Key words: Autogenous arteriovenous fistula, Thrombosis, Manual massage, Infection, Hypervirulent Klebsiella pneumoniae