Partial Aneurysmectomy of Venous Aneurysms in Arteriovenous Dialysis Fistulas.
Publication/Presentation Date
1-1-2015
Abstract
Upper extremity native arteriovenous fistulas (AVFs) continue to be the standard of care for hemodialysis patient's access. Although autogenous fistulas are superior to catheters and synthetic grafts, they are not without their own complications. One complication is venous aneurysms that can lead to skin erosion, bleeding, and site loss. Although traditionally repaired with ligation, interposition grafts, or stent placement, in this article, we discuss our experience with aneurysmorrhaphy utilizing a thoracoabdominal (TA) stapler. Thirteen aneurysms were treated with the TA stapler at a single, nonuniversity hospital for all patients from 2012 to 2014. The average aneurysm diameter was 3.6 cm, and the average fistula age was 57.9 months. There were no bleeding complications or recurrences. The primary patency was 80% at 6 months, with a primary assisted patency of 90% during the same time frame. Aneurysmorrhaphy with the TA stapler appears to be a safe and viable option for the treatment of venous aneurysms associated with AVFs.
Volume
49
Issue
5-6
First Page
124
Last Page
128
ISSN
1938-9116
Published In/Presented At
Piccolo, C., 3rd, Madden, N., Famularo, M., Domer, G., & Mannella, W. (2015). Partial Aneurysmectomy of Venous Aneurysms in Arteriovenous Dialysis Fistulas. Vascular and endovascular surgery, 49(5-6), 124–128. https://doi.org/10.1177/1538574415600532
Disciplines
Medicine and Health Sciences
PubMedID
26316207
Department(s)
Department of Surgery
Document Type
Article