Affiliation:
1. Department of Vascular Surgery and Transplantation, Medical University of Bialystok, 15-276 Bialystok, Poland
Abstract
The escalating population of individuals afflicted with end-stage renal disease necessitates the provision of secure and efficacious vascular access for hemodialysis, with arteriovenous fistulas representing a preferred option. Nonetheless, the creation of dialysis fistulas may entail complications, including the occurrence of fistula aneurysms that may require surgical intervention. This study included eight patients with large aneurysms of dialysis fistulas and aimed to evaluate the safety and effectiveness of classic, endovascular, or hybrid methods for fistula reconstruction or ligation, depending on the indications. Vascular interventions were performed on patients on chronic hemodialysis and on those in whom hemodialysis was discontinued due to the proper functioning of the transplanted kidney. Performed procedures were considered safe and effective. The reconstructed fistulas provided the patients with patent vascular access, allowing for continued hemodialysis. No re-aneurysmal dilatation of the reconstructed or ligated fistulas was observed. Regular monitoring of dialysis fistulas is crucial to detect complications in time. Guidelines should be established to specify the dimensions at which fistula aneurysm should be excised and whether to remove asymptomatic aneurysms at all. For patients who have undergone kidney transplantation, outlines should indicate when the fistula should be preserved and when it should be ligated.
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference36 articles.
1. Patency and Complications of Arterio-Venous Fistula Created in Pre- and Post-dialysis Settings;Azeem;J. Coll. Physicians Surg. Pak.,2022
2. Barac, S., Rata, A., Popescu, A., Onofrei, R., and Chiriac, S. (2022). True Brachial Artery Aneurysm in Patients with Previous Arterio-Venous Fistula Ligation and Immunosuppressant Therapy for Renal Transplantation: Case Report and Literature Review. Healthcare, 10.
3. Statistics for 2022;Czerwinski;Poltransplant,2023
4. Current status of renal replacement therapy in Poland–2021;Rutkowski;Nefrol. Dial. Pol.,2021
5. Compressive False Aneurysm of The Brachial Artery in a Hemodialysis Patient: Always Superficialize The Basilic Vein of The Arm;Zahdi;Nephrol. Ther.,2022
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