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2022, Number 1

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Revista Cubana de Angiología y Cirugía Vascular 2022; 23 (1)

Juxtaanastomotic venous aneurysm in arteriovenous fistula for hemodialysis

Hondares GMC, Jaime CZ, Hernández SA, Pérez DA

Language: Spanish
References: 11
Page: 1-9
PDF size: 327.20 Kb.


ABSTRACT

Introduction: Despite the great technical advance represented by internal arterio-venous fistulas for hemodialysis, these are not exempt from complications that compromise their durability. Among them are juxtaanastomotic venous aneurysms.
Objective: Present the surgical treatment used to repair juxtaanastomotic venous aneurysms.
Case presentation: 54-year-old patient, female and black skin color. She presented a history of chronic renal failure of 12 years of evolution, with failed kidney transplant, which had a juxtaanastomotic venous aneurysm, located in a humerus-cephalic arterio-venous fistula in the left upper limb, which was confirmed by Doppler echo. Aneurysmectomy and replacement grafting with expandable polytetrafluorethylene vascular prostheses were used as surgical treatment. Finally, the arterio-venous fistula was preserved, as well as its permeability.
Conclusions: The evolution was satisfactory in terms of durability and use as an access route for hemodialysis.


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