González-De Leo S, Rodríguez-Ramírez N, Rizo-García Y, Romero-García I

Language: Spanish
References: 11
Page: 106-111
PDF size: 232.71 Kb.

ABSTRACT

Objective. Presenting 2 cases of patients with arteriovenous fistulas and venous aneurysms, which were treated with venous plication resulting in successfull preservation of the access.
Background. Arteriovenous fistulas are frequently complicated with venous aneurysms. Treatment can vary among different surgeons. Venous plication has demonstrated to be useful and have a low rate of complications to preserve the arteriovenous access.
Material and methods. Two patients with arteriovenous fistulas complicated with venous aneurysms were treated with partial aneurysmectomy or venous plication with successfull results.
Results. Both hemodialysis accesses were preserved, with good long-term outcomes. The complication we had in both cases was hemorrhage after hemodialysis so a temporary catheter was required.
Conclusions. Venous plication is a good procedure with few complications. We consider it useful to have a temporary catheter for hemodialysis to avoid using the fistula for a 2-3 weeks to avoid bleeding complications according to the experience at this institution.

REFERENCES

1. Roy Chaudhury P, Melhem M. Solutions for hemodialysis vascular Access dysfunction: thinking out of the box!! The Journal of Vascular Access 2005; 6: 3-8.

2. Pasklinsky G, Meisner RJ, Labropoulos N, et al. Management of true aneurysms of hemodialysis access fistulas. J Vasc Surg 2011; 53(5): 1291-7.

3. Ekim H, Odabasi D, Basel H, Aydin C. Management of giant venous aneurysms secondary to arteriovenous stula in hemodialysis patients. Pak J Med Sci 2011; 27(5): 1028-32.

4. Hossny A. Partial aneurysmectomy for salvage of autogenous arteriovenous fistula with complicated venous aneurysms. J Vasc Surg 2014; 59(4): 1073-7.

5. Rajput A, Rajan DK, Simons ME, et al. Venous aneurysms in autogenous hemodialysis fistulas: is there an association with venous outflow stenosis. J Vasc Access 2013; 14(2): 126-30.

6. Georgiadis GS, Lazarides MK, Panagoutsos SA, Kantartzi KM, Lambidis CD, Staramos DN, et al. Surgical revision of complicated false and true vascular access-related aneurysms. J Vasc Surg 2008; 47: 1284-91.

7. Karabay O, Yetkin U, Silistreli E, Uskent H, Onol H, Acikel U. Surgical management of giant aneurysms complicating arteriovenous stulae. J Int Med Res 2004; 32: 214-7.

8. Woo K, Cook PR, Garg J, Hye RJ, Canty TG. Midterm results of a novel technique to salvage autogenous dialysis access in aneurysmal arteriovenous fistulas. J Vasc Surg 2010; 51: 921-92.

9. Lo HY, Tan SG. Arteriovenous stula aneurysm-plicate, not ligate. Ann Acad Med Singapore 2007; 36: 851-3.

10. Okten CC, Gunday M, Demirbas M. Surgical treatment of venous aneurysms developing in arteriovenous fistulae in hemodialysis patients. Turkish J Thorac Cardiovasc Surg 2010; 18: 196-9.

11. Balaz P, Rokosny S, Klein D, Adamec M. Aneurysmorrhaphy is an easy technique for arteriovenous fistula salvage. J Vasc Access 2008; 9: 81-4.