Open repair reconstruction for acute thrombosis of true venous hemodialysis access aneurysms

VernacularTitle:瘤体修复术治疗合并急性血栓形成的血透通路瘤样病变
Author: Weijing GE ¹ ; Yaxue SHI ; Jingyi HU ; Sijie LIU ; Feng LU
Author Information

1. 200032,上海中医药大学附属龙华医院血管外科
Keywords: Hemodiafiltration; Thrombosis; Vascular access; Aneurysmorrhaphy
From: Chinese Journal of General Surgery 2018;33(9):764-767
CountryChina
Language:Chinese
Abstract: Objective To summarize the experiences of aneurysmorrhaphy for arteriovenous fistula aneurysms with acute thrombosis in hemodialysis patients.Methods There were 7 cases of arteriovenous fistula with acute thrombosis from Nov 2015 to Feb 2017 at our department of vascular surgery,Longhua Hospital.Results In all cases thrombosis was secondary to proximal stenosis or occlusion.The stenosis and occlusion were corrected with embolectomy and aneurysmorrhaphy.The proximal part of the cephalic vein was translocated to the basilic vein in 1 case,axillary vein in 2 cases;autologous vein graft in 1 case;resection of the occlusion,end-to-end anastomosis in 1 case;autogenous patch in 1 case.No perioperative complications occurred.The operation site was cannulated within one month after operation in all cases.Patients were followed up for 7 months to 23 months,all cases were patent.Conclusions Aneurysmorrhaphy is effective,reliable and safe for arteriovenous fistula aneurysms with acute thrombosis in hemodialysis patients.