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Salvage of brachiocephalic aneurysmatic fistulas, using ePTFE graft with a minimally invasive approach   
Yazarlar (2)
Burak Tamtekin
Dr. Öğr. Üyesi Güler Gülsen ERSOY Dr. Öğr. Üyesi Güler Gülsen ERSOY
Kastamonu Üniversitesi, Türkiye
Devamını Göster
Özet
In this study, we evaluated our surgical approach in requiring surgical treatment of brachiocephalic arteriovenous fistula (AVF) aneurysms for salvage of AVF. Between 2012 and 2022, 20 patients (16 men, 4 women; mean age 54.5 years) who were surgically treated for a brachiocephalic AVF aneurysm in our Cardiovascular Surgery Clinic were evaluated retrospectively. These 20 patients were operated on for aneurysm thrombosis and fistula failure in 16 patients, sudden rupture and severe bleeding in 3 patients, cosmetic reasons, and anxiety in 1 patient. These aneurysms were ligated and divided from distal and proximal cephalic veins. Then, a 6 mm dialysis graft was interposed between the well-developed cephalic vein distal and proximal to the aneurysm with small skin incisions. All patients were taken to dialysis via this dialysis graft 24 h after the procedure without any problem. All patients were discharged after dialysis. After surgery, no catheterization or any other additional procedure was required for hemodialysis. No complications, such as infection, hematoma, neurological damage, or ischemia, were observed after the surgical procedure. The mean postoperative follow-up was 12 months. In brachiocephalic AVF aneurysms requiring surgical treatment, hemodialysis can be continued with a graft placed in the same arm in this technique.
Anahtar Kelimeler
Arteriovenous fistula aneurysm | graft | hemodialysis
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı JOURNAL OF VASCULAR ACCESS
Dergi ISSN 1129-7298 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI, SCIE
Makale Dili İngilizce
Basım Tarihi 03-2025
Cilt No 26
Sayı 2
Sayfalar 628 / 632
Doi Numarası 10.1177/11297298241238783