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Revista Mexicana de Angiología

Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular
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2018, Number 2

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Rev Mex Angiol 2018; 46 (2)

Caso clínico: Aneurisma venoso infectado en fístula arteriovenosa

Martínez-Coria T, González-Mendoza B, Carrasco-González H, Chávez-Aguilar E, Lara-González VR, Moya-Jiménez S
Full text How to cite this article

Language: Spanish
References: 7
Page: 76-78
PDF size: 159.74 Kb.


Key words:

Arteriovenous fistula, arteriovenous fistula complications, venous aneurysm, arteriovenous fistula infection.

ABSTRACT

Objective. To describe a therapeutic alternative in patients with vascular access infection.
Background. In Mexico, among the main causes of morbidity of patients with hemodialysis is anemic syndrome and infection of vascular access.
Case report. A patient with chronic renal disease with a history of infection of the vascular access (arteriovenous fistula) and anorectic dilatation that comes with access infection that does not accept dismantling of the access is presented.
Results. Vascular exploration and resection of the venous aneurysm were performed with terminal-terminus anastomosis, adequate post-surgical evolution and functional fistula.
Conclusions. Aneurysmal dilatation and infection are expected complications in patients with fistula greater than 5 years and without compression of this extremity favors such dilations. It is recommended to dismantle the AVF in cases of infection and to seek new vascular access.


REFERENCES

  1. Clinical practice guidelines for vascular access. Am J Kidney Dis 2006; 48(Suppl. 1): S176-S247.

  2. Mestres G, Fontsere N, Yugueros X, Tarazona M, Ortiz I, Riambau V. Aneurysmal Degeneration of the Inflow Artery after Arteriovenous Access for Hemodialysis. Eur J Vasc Endovasc Surg 2014; 48: 592-6.

  3. Méndez-Durán A. Epidemiología de la insuficiencia renal crónica en México. Dial Traspl 2010; 31(1): 7-11.

  4. Manne V, Vaddi SP, Reddy VB, Dayapule S. Factors influencing patency of Brescia-Cimino arterio-venous fistulas in hemodialysis patients. Saudi J Kidney Dis Transpl 2017; 28: 313-7

  5. Tozzi M, Franchin M, Letto G, Soldini G, Chiappa C, Carcano G, et al. A modified stapling technique for the repair of an aneurysmal autogenous arteriovenous fistula. J Vasc Surg 2014, 60(4): 1019-23

  6. Masashi Suzuki, Nobuhiko Satoh. Bacteremia in hemodialysis patients. World J Nephrol 2016; 5(6): 489-96.

  7. Ellingson KD, Palekar RS, Lucero CA, Kurkjian KM. Vascular access hemorrhages contribute to deaths among hemodialysis patients. Kidney International 2012; 82: 686-92.




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Rev Mex Angiol. 2018;46