Below what platelet count would you avoid using an AV fistula in a patient with ESKD and thrombocytopenia?  

Great question & the answer is likely debatable based on personal experience. Review of some case reports show no evidence of prolonged bleeding after AVF cannulation with platelet counts as low as 37,000 (1). Platelet counts can drop by 5- 15% with initiation of HD normally. They fall duri...