Document Detail

Endovascular repair of hemodialysis graft-related pseudoaneurysm: an alternative treatment strategy in salvaging failing dialysis access.
MedLine Citation:
PMID:  18375603     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Hemodialysis access-related pseudoaneurysm is a known complication in patients requiring hemodialysis via prosthetic arteriovenous grafts (AVGs). The traditional treatment strategy of AVG-related pseudoaneurysms is either AVG ligation or interposition replacement with another prosthetic graft segment or autogenous veins. PATIENTS AND METHODS: From June 2002 to August 2007, 32 self-expanding stent grafts were implanted in 26 patients with AVG pseudoaneurysms. Indications for treatment consisted of large AVG pseudoaneurysm size, localized pain at pseudoaneurysm site, enlarging pseudoaneurysm, and skin site breakdown. AVG pseudoaneurysm exclusion was accomplished with Wallgrafts, Viabahn endoprosthesis, and Fluency endograft. Technical success was achieved in all patients. Nineteen patients experienced a marked decrease in the size of their pseudoaneurysm following endograft exclusion. Successful hemodialysis was resumed through endograft-excluded AVG in all patients within 48 hours. CONCLUSIONS: Endoluminal exclusion of AVG pseudoaneurysms using endografts is a safe and effective treatment strategy in patients with hemodialysis-related pseudoaneurysm.
Neal R Barshes; Suman Annambhotla; Carlos Bechara; Panagiotis Kougias; Tam T Huynh; Alan Dardik; Michael B Silva; Peter H Lin
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2008-03-28
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  42     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2008 Jun-Jul
Date Detail:
Created Date:  2008-07-31     Completed Date:  2008-10-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  228-34     Citation Subset:  IM    
Division of Vascular Surgery & Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine and Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA.
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MeSH Terms
Aneurysm, False / etiology,  physiopathology,  radiography,  surgery*
Arteriovenous Shunt, Surgical / adverse effects*,  instrumentation
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation
Renal Dialysis*
Salvage Therapy
United States
Vascular Patency

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

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