Sierra-Juárez MÁ, Córdova- Quintal PM, Palafox D

Language: Spanish
References: 5
Page: 324-326
PDF size: 354.68 Kb.

ABSTRACT

Vascular access for hemodialysis still represent a useful resource for the treatment of end-stage renal disease. The most common surgical procedure is the arteriovenous fistula. The formation of a pseudoaneurysm represents a complication that may not be easily identified but with great potential of increasing patient morbidity in case of rupture. It has been reported that up to 15% of hospital readmissions in kidney-disease patients is associated to complications with vascular access. Pseudoaneurysm may be underdiagnosed by health providers not familiarized with angiology, so we think multidisciplinary programs for the attention of chronic and terminal renal patients must be created. We herein present the case of a patient with a large pseudoaneurysm in the site of an arteriovenous fistula.

REFERENCES

1. Chazan JA, London MR, Pono LM. Long term survival of vascular accesses in a large chronic hemodialysis population. Nephron 1995;69:228-233.

2. Sierra-Juárez MA, Córdova-Quintal PM. Pseudoaneurisma. Lesión inadvertida, un reto para la comunidad médica no vascular. Rev Mex Angiol 2012; 40: 72-76.

3. Pou M, Saurina A, Falcó J, De las Cuevas X. Angioradiology as diagnosis and treatment of a pseudoaneurysm in an internal arteriovenous fistula. Nefrologia 2004;24:380-381.

4. Belli S, Parlakgumus A, Colakoglu T, Ezer A, Yildirim S, Moray G, et al. Surgical treatment modalities for complicated aneurysms and pseudoaneurysms of arteriovenous fistulas. J Vasc Access 2012;13:438-445.

5. González-López MT, González-González S, Muñoz-García RJ, Ramos-Frendo B, Aranda-Granados PK, Gutiérrez de Loma J. Pseudoaneurisma gigante de fístula arteriovenosa humeral autóloga: reparación quirúrgica. Nefrología 2001;31: 499-500