{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:06:36Z","timestamp":1747188396437,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:00:00Z","timestamp":1705449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Blood donation is a safe process though reactions may still occur. We describe a rare vascular complication in a frequent donor, with improvements in the collection process aimed at avoiding future events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 63\u2010year\u2010old woman presented with local pain and an apparent collection in the left arm 8\u2009days after donation. Duplex ultrasound identified a superficial liquid collection and signs of arteriovenous fistula (AVF) between the cubital vein and an arterial branch. A computed tomography (CT)\u2010angio performed 1 day after ultrasound did not identify signs of AVF, followed by a new duplex which confirmed CT\u2010angio findings. It was assumed that a traumatic AVF evolved with spontaneous thrombosis. In the early follow\u2010up (18\u2009days), a progressive regression of hematoma was observed without any sequelae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Investigation showed a faster whole blood bag collection time (3\u2009min; normal: 5\u20139\u2009min), and the processed packed red blood cell had a brighter red color than usual. The donor reported local bleeding after needle withdrawal, not observed in previous donations and a bruise forming on the same day. No arterial puncture (AP) was noticed by the collection staff during the procedure. The staff was retrained and actions were taken focusing on more active surveillance of late reactions, highlighting the importance of post\u2010donation information by the donors, regardless of any adverse reaction observed, to detect late complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We described an uncommon AP in a donor that was not identified, leading to an AVF that spontaneously thrombosed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.17725","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T09:29:16Z","timestamp":1705483756000},"page":"546-549","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A rare vascular injury in a blood donor after whole blood donation"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2873-3447","authenticated-orcid":false,"given":"Patricia","family":"Scuracchio","sequence":"first","affiliation":[{"name":"Hospital S\u00edrio\u2010Liban\u00eas Blood Bank  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6068-0780","authenticated-orcid":false,"given":"Ruth","family":"Achkar","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio\u2010Liban\u00eas Blood Bank  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8350-5121","authenticated-orcid":false,"given":"Lara","family":"Dias","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio\u2010Liban\u00eas Blood Bank  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7438-4280","authenticated-orcid":false,"given":"Melina","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio\u2010Liban\u00eas Blood Bank  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1280-8352","authenticated-orcid":false,"given":"Ivan","family":"Casella","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo\u2014Hospital das Cl\u00ednicas  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5014-8657","authenticated-orcid":false,"given":"Calogero","family":"Presti","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo\u2014Hospital das Cl\u00ednicas  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4078-5573","authenticated-orcid":false,"given":"Roberta","family":"Fachini","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio\u2010Liban\u00eas Blood Bank  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1941-7733","authenticated-orcid":false,"given":"Silvano","family":"Wendel","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio\u2010Liban\u00eas Blood Bank  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,17]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_7_2_1","DOI":"10.1111\/vox.13202"},{"doi-asserted-by":"publisher","key":"e_1_2_7_3_1","DOI":"10.2450\/2013.0262-12"},{"doi-asserted-by":"publisher","key":"e_1_2_7_4_1","DOI":"10.1111\/vox.13048"},{"doi-asserted-by":"publisher","key":"e_1_2_7_5_1","DOI":"10.1097\/01.moh.0000142105.21058.96"},{"doi-asserted-by":"publisher","key":"e_1_2_7_6_1","DOI":"10.1016\/j.tmrv.2012.05.002"},{"doi-asserted-by":"publisher","key":"e_1_2_7_7_1","DOI":"10.1111\/voxs.12596"},{"doi-asserted-by":"publisher","key":"e_1_2_7_8_1","DOI":"10.1046\/j.1537-2995.2001.41111390.x"},{"doi-asserted-by":"publisher","key":"e_1_2_7_9_1","DOI":"10.1111\/j.1537-2995.2008.01811.x"},{"doi-asserted-by":"publisher","key":"e_1_2_7_10_1","DOI":"10.1111\/j.1537-2995.1971.tb04392.x"},{"doi-asserted-by":"publisher","key":"e_1_2_7_11_1","DOI":"10.1111\/j.1537-2995.2004.04032.x"},{"volume-title":"The 2016 annual shot report","year":"2017","author":"Narayan S.","key":"e_1_2_7_12_1"},{"key":"e_1_2_7_13_1","first-page":"103","volume-title":"Blood donor healthy and safety","author":"Hughes J","year":"2022"},{"doi-asserted-by":"publisher","key":"e_1_2_7_14_1","DOI":"10.1046\/j.1537-995.1995.35996029156.x"},{"doi-asserted-by":"publisher","key":"e_1_2_7_15_1","DOI":"10.1046\/j.1537-2995.1994.34394196625.x"},{"doi-asserted-by":"publisher","key":"e_1_2_7_16_1","DOI":"10.1046\/j.1537-2995.1995.35996029167.x"},{"doi-asserted-by":"publisher","key":"e_1_2_7_17_1","DOI":"10.4103\/ijves.ijves_6_18"},{"doi-asserted-by":"publisher","key":"e_1_2_7_18_1","DOI":"10.1111\/trf.16333"},{"unstructured":"Marco Conceitual e Operacional de Hemovigil\u00e2ncia: Guia para a Hemovigil\u00e2ncia no Brasil. 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