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An artificial shunt for hemodialysis, either a fistula (direct artery to vein connection) or a graft (artery to vein connection through Goretex tubing), can be on the arm, or preferably on the forearm for a fistula.

A fistula, and even less so a Goretex, will not burst because of applying pressure through a sphygmomanometer (which was the original answer posted here). There is a slight risk of causing a thrombosis of the venous side of the fistula, particularly if there is already a venous stenosis.

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Q: Why shouldn't you take a blood pressure on an arm with a shunt?
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