Surgical Management of Giant Aneurysms Complicating Arteriovenous Fistulae
| Autor: | H Uskent, Erdem Silistreli, Özalp Karabay, Ufuk Yetkin, Ünal Açikel, Hakan Önol |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Spontaneous rupture medicine.medical_specialty Arteriovenous fistula Biochemistry Ultrasonographic examination Resection Arteriovenous Shunt Surgical Aneurysm medicine Humans In patient cardiovascular diseases Aneurysm formation Aged business.industry Biochemistry (medical) Late complication Cell Biology General Medicine Middle Aged medicine.disease Surgery Female Radiology business Vascular Surgical Procedures |
| Zdroj: | Journal of International Medical Research. 32:214-217 |
| ISSN: | 1473-2300 0300-0605 |
| DOI: | 10.1177/147323000403200215 |
| Popis: | The creation of an arteriovenous fistula (AVF) is frequently used to achieve easier access for haemodialysis in patients with chronic renal insufficiency. The most frequent late complication of AVFs is aneurysm formation, which carries the risk of spontaneous rupture. This study reports on 18 patients with giant aneurysms that developed on antebrachial AVFs who were operated on over a period of 6 years. Colour duplex ultrasonographic examination of the upper extremity was performed in all but one patient in the preoperative period. Surgical management included resection of the aneurysm and re-establishment of arterial continuity. There were no complications such as infection, ischaemic extremity loss, neurological sequelae or mortality. Colour duplex ultrasonographic examinations after 6 months were all normal. The mean follow-up period was 29.1 months (range 7 − 50 months). There were no additional vascular complications observed during follow-up. Early surgical intervention is the recommended treatment of choice for giant aneurysm complicating antebrachial AVF. |
| Databáze: | OpenAIRE |
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