Partial aneurysmectomy for salvage of autogenous arteriovenous fistula with complicated venous aneurysms

Journal of Vascular Surgery
Ahmed Hossny

Abstract

One complication of autogenous arteriovenous fistula (AVF) for hemodialysis is the formation of a venous aneurysm (VA). The treatment of massive aneurysmal AVF generally involves ligation or resection with the use of prosthetic interposition. Partial aneurysmectomy, with or without reduction venoplasty, has been suggested to treat such a complicated AVF to maintain an all-autogenous access. The purpose of this study was to describe these procedures and examine their outcomes. From January 2008 to May 2012, 14 patients (64% males) with complicated VAs were treated by partial aneurysmectomy with reduction venoplasty for a diffusely dilated venous segment. Patients with an infected aneurysm or central vein stenosis were not included. The surgical technique and the postoperative outcome were described. Patients were a mean age of 37.2 ± 12.2 years. Twenty-five aneurysms and four diffusely dilated segments (7, 10, 15, and 21 cm in length) were treated. Four patients (29%) presented with one aneurysm, nine (64%) with two aneurysms, and one (7%) with three aneurysms. The main clinical indications for intervention were skin necrosis and erosion with imminent danger of bleeding in nine (64%), stenosis related to aneurysm in one (7%), an...Continue Reading

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Citations

Mar 27, 2015·Seminars in Dialysis·Adrian Sequeira, Tze-Woei Tan
Aug 8, 2015·Clinical Kidney Journal·Anna MudoniNicholas Inston
Sep 1, 2015·Vascular and Endovascular Surgery·C PiccoloW Mannella
Mar 9, 2017·Canadian Journal of Kidney Health and Disease·Jennifer M MacRaeUNKNOWN Canadian Society of Nephrology Vascular Access Work Group
Nov 4, 2017·The Journal of Vascular Access·Nicholas InstonDomenico Valenti
Jun 6, 2015·The Journal of Vascular Access·Peter Balaz, Martin Björck
Dec 17, 2015·Open Medicine·Raffaele SerraStefano de Franciscis
Feb 11, 2021·Annals of Vascular Surgery·Alessia ViscardiUmberto Marcello Bracale
Jan 29, 2021·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Ata Niyazi EcevitOsman Tansel Darçın
Dec 28, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Peter BalážStephen O'Neill
Sep 3, 2021·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·Yanhua XuJing'an Li

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