TY - JOUR PY - 2021// TI - Fatal suicidal injury of a radiocephalic arteriovenous fistula JO - Journal of forensic sciences A1 - Simon, Gábor A1 - Heckmann, Veronika SP - ePub EP - ePub VL - ePub IS - ePub N2 - A 59-year-old man was found dead in his living room. His body was covered with blood, but the only injury found was a 31-mm-long, transverse incision on the radial surface of the left forearm. Autopsy revealed that the injured vessel was an enlarged cephalic vein from a radiocephalic arteriovenous fistula (RC-AVF) that had been created 23 years before for hemodialysis. Cephalic vein injury is usually not fatal, but circumstantial evidence, autopsy, and histological findings suggested that hemorrhagic shock and death occurred within a short time after the self-inflicted incised wound. This may be explained by the blood flow rate in the RC-AVF, which can reach 12 ml/s; this is 25 times higher than the normal cephalic vein blood flow.
Language: en
LA - en SN - 0022-1198 UR - http://dx.doi.org/10.1111/1556-4029.14895 ID - ref1 ER -