Repair of Aneurysmal Arteriovenous Fistulae: A Systematic Review and Meta-analysis
| Autor: | Adam Whitley, Peter Baláž, Slavomír Rokošný, Jan Bafrnec, Stephen O'Neill |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Arteriovenous fistula 030204 cardiovascular system & hematology 030230 surgery Surgical methods Time Upper Extremity 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine Aneurysm Arteriovenous Shunt Surgical Renal Dialysis medicine Humans Surgical treatment Vascular Patency business.industry Long term results medicine.disease Surgery Meta-analysis Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 59(4) |
| ISSN: | 1532-2165 |
| Popis: | Objective Aneurysms arising from arteriovenous fistulae are a common finding among dialysed patients and pose a risk of acute bleeding. The aim of this study was to perform a systematic review and meta-analysis evaluating the surgical options for the treatment of aneurysmal arteriovenous fistulae. Methods A systematic review and meta-analysis of articles published between January 1973 and March 2019 describing the surgical treatment of arteriovenous fistulae aneurysms. Results A total of 794 records were identified. After duplicate and low quality studies were removed, 72 full text articles were reviewed and from these 13 were included in the meta-analysis. The total number of patients was 597. Aneurysms were located in the upper arm in 289 (59%) cases and the smallest diameter of a treated aneurysm was 15 mm. The most frequent indication for treatment was bleeding prevention in 513 (86%) cases. Aneurysmorrhaphy was the surgical method of choice in all 13 studies. The pooled primary patency at 12 months was 82% (95% CI 69%–90%, 12 studies, I2 = 84%, p Conclusion Aneurysmorraphy of arteriovenous fistulae is a procedure with acceptable short and long term results, with a low complication and aneurysm recurrence rate. |
| Databáze: | OpenAIRE |
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