Abstract
Heparin-induced thrombocytopenia (HIT) is classified into type I and type II. In type II HIT, the main presentation is repeated thrombosis, and in some cases it can be life-threatening. A successful case of reconstruction in a 68-year-old female with an arterio-venous fistula and type II HIT is reported. Her arteriovenous fistula (AVF) was occluded one day after the AVF formation, and the circuit of hemodialysis was completely coagulated. She also had thrombi around the hemodialysis catheter. After the diagnosis was made, we started to administrate Argatroban. After two weeks from the last heparin administration, the second AVF was reconstructed successfully.