| Brachial artery aneurysms associated with arteriovenous access for hemodialysis. | |
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MedLine Citation:
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PMID: 20701723 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Brachial artery aneurysm (BAA) is a rare condition. We describe a series of cases of BAA with arteriovenous access. Thirteen patients were retrospectively identified between January 2006 and July 2009 using a patient database. All were associated with brachio-cephalic fistulas. Mean age was 51.2 +/- 13.8 years. Twelve males (93.3%) were identified. Characteristics were: diabetes 1, hypertension 8, hypercholesterolemia 2, ischemic heart disease 2, family history of aneurysmal disease 2. Five BAA developed after access ligation, eight while it was working, one after trauma. One was associated with a venous aneurysm. While the average life of the access was 161 +/- 115 months, the average time for BAA formation was 40 +/- 35.8 months. BAA was asymptomatic in three patients, whereas 10 presented with ischemic and neurologic symptoms. None presented with a rupture. All patients underwent surgical repair, seven an aneurysm excision and end-to-end reconstruction of the brachial artery. Venous conduits were utilized: four long saphenous veins, one cephalic, and one basilic vein. All patients had patent brachial arteries with a complete relief of symptoms at 14 months. BAA is a rare but significant complication of vascular access. The surgical approaches presented offer a reasonable outcome. |
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Authors:
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Eric Chemla; Mei Nortley; Mohamed Morsy |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Seminars in dialysis Volume: 23 ISSN: 1525-139X ISO Abbreviation: Semin Dial Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-08-12 Completed Date: 2010-12-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8911629 Medline TA: Semin Dial Country: United States |
Other Details:
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Languages: eng Pagination: 440-4 Citation Subset: IM |
Affiliation:
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Renal Transplant Unit, St. George's Hospital, London, United Kingdom. eric.chemla@stgeorges.nhs.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aneurysm / etiology*, radiography, surgery Angiography Arteriovenous Shunt, Surgical / adverse effects* Brachial Artery* Female Follow-Up Studies Humans Kidney Failure, Chronic / therapy* Male Middle Aged Prospective Studies Renal Dialysis / methods* Treatment Outcome Vascular Surgical Procedures / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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