Pain can occur after puncturing different tissues. Since tissue damage is triggered from the outside in an unnatural way, this is also quite normal. However, severe or persistent pain can indicate complications, such as inflammation
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Inflammation in the tissue develops on the path of least resistance and usually breaks up on the surface of the skin. The pathway from the abscess to the surface is called the fistula duct.
An AV fistula is a short-circuit connection between an artery and a vein. Most AV fistulas are artificially made, for example for dialysis treatment. however, they can also be congenital or arise from vascular injuries
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