Document Detail


Aneurysmorrhaphy is an easy technique for arteriovenous fistula salvage.
MedLine Citation:
PMID:  18609522     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The life-saving procedures for patients in chronic renal failure (CRF) are hemodialysis (HD) or successful kidney transplantation. HD requires a properly placed and functioning vascular access, most often obtained by creating an arteriovenous fistula (AVF). The long-term patency of AVFs is limited, in addition to other factors, by the development of intimal hyperplasia and the process results in venous wall thickening and progressive fistula occlusion. Another problem is limited patency, due to the development of pseudoaneurysm, which is associated with an increased risk of thrombosis, infection and bleeding, difficult cannulation for dialysis, pain and cosmetic defects. Treatment is focused on rapidly progressing pseudoaneurysms, which can predispose to rupture, technical problems during cannulation because of pseudoaneurysm size or a growing intraluminal thrombus. Most of these patients are scheduled for pseudoaneurysm removal and new fistula construction or, occasionally, an endovascular procedure involving stent graft implantation. This paper describes a simple and inexpensive technique of managing an AVF pseudoaneurysm, i.e. aneurysmorrhaphy. To offset the weakening of the venous wall by suture following aneurysmorrhaphy, an external polyethylene terephthalate (PET) prosthesis was implanted in the vein to prevent the development of intimal hyperplasia in the de novo created AVF.
Authors:
P Balaz; S Rokosny; D Klein; M Adamec
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of vascular access     Volume:  9     ISSN:  1129-7298     ISO Abbreviation:  J Vasc Access     Publication Date:    2008 Apr-Jun
Date Detail:
Created Date:  2008-07-08     Completed Date:  2008-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940729     Medline TA:  J Vasc Access     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  81-4     Citation Subset:  IM    
Affiliation:
Transplant Surgery Department, Institute of Clinical and Experimental Medicine, Prague - Czech Republic. peter.balaz@ikem.cz
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology,  surgery*
Arteriovenous Shunt, Surgical / adverse effects,  methods*
Female
Humans
Kidney Failure, Chronic / therapy
Male
Middle Aged
Polyethylenes
Renal Dialysis / methods
Salvage Therapy / methods*
Treatment Outcome
Vascular Patency
Vascular Surgical Procedures / methods*
Chemical
Reg. No./Substance:
0/Polyethylenes

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Ulno-basilic arteriovenous fistulae: indications and surgical technique.
Next Document:  Radiological central vein treatment in vascular access.