Humans ; Ascites/etiology* ; Gastrointestinal Hemorrhage/etiology* ; Arteriovenous Fistula/complications*

OBJECTIVE: Many modifications have been designed for patients in whom unsatisfactory for fistula formation. Among these modified arteriovenous fistula (AVF), the reverse brachiocephalic fistula (rBC), in which the median cubital vein is isolated as close to the basilic vein as possible, then anastomosed end to side to the brachial artery. The result of rBC AVF are assessed in this retrospective series. METHODS: During the period January 2003 to December 2013, a retrospective review of 49 cases undergoing rBC AVF in department of surgery in Soonchunhyang University Hospital were performed. Data collected included demographics, postoperative complications. RESULTS: Primary patency of rBC AVF was 76%, 62.5%, and 50% at 1, 3, and 5 years, respectively. Secondary patency was 100%, 96.8%, and 89.2%, at 1, 3, and 5 years, respectively. Thirty one postoperative complications were developed in 25 patients (65 cases). CONCLUSION: Available techniques for creating rBC AVF are associated with good patency rate. End-stage renal disease with hemodialysis patients might benefit from rBC AVF, because of long patency, less radiologic procedure, and less infection rate.
Arteriovenous Fistula* ; Brachial Artery ; Demography ; Fistula ; Humans ; Kidney Failure, Chronic ; Ocimum basilicum ; Postoperative Complications ; Renal Dialysis* ; Retrospective Studies ; Veins

Rarely, an arteriovenous fistula (AVF) can follow a femoral arterial puncture for cardiovascular catheterization. Surgical repair has been suggested as the standard treatment. We report a 66-year-old woman with a pulmonary thromboembolism as a complication of surgical repair of a chronic femoral AVF. We believe that the repair of the AVF led to a sudden decrease in venous blood flow, leading to thrombus formation at the site of damaged endothelium. Therefore, doctors should consider all possible complications that can arise from a sudden change in blood flow as a result of repairing a chronic AVF.
Aged ; Arteriovenous Fistula* ; Catheterization ; Catheters ; Endothelium ; Female ; Humans ; Postoperative Complications ; Pulmonary Embolism* ; Punctures ; Thrombosis

Adult ; Aneurysm, False ; etiology ; Arteriovenous Fistula ; etiology ; Biopsy ; adverse effects ; Humans ; Kidney ; surgery ; Male ; Postoperative Complications

Arteriovenous Fistula ; complications ; Embolization, Therapeutic ; methods ; Gastrointestinal Hemorrhage ; etiology ; therapy ; Humans ; Male ; Young Adult

OBJECTIVETo report surgical experience in pseudoaneurysm (PA) repair of arteriovenous fistula (AVF) for renal hemodialysis.

METHODSTwenty patients undergoing PA repair of AVF for renal hemodialysis were treated in Central Hospital Conde S. Januario of Macao. Sixteen patients had PAs of AVF in upper extremities, 4 in lower extremities. All patients were treated with surgical therapy.

RESULTSAll operations were finished without death. One patient suffered from acute thrombosis, recovered without any complication through instant thrombectomy. One patient with postoperative incision bleeding recovered after low molecular weight heparin was ceased. And one AVF could not be mature six weeks later, was recovered after ligation of branch vein. And one patient died due to recurrent cerebral infarction.

CONCLUSIONSurgical repair is the best choice for PA of AVF for renal hemodialysis.

Adult ; Aged ; Aged, 80 and over ; Aneurysm, False ; complications ; surgery ; Arteriovenous Fistula ; complications ; Female ; Humans ; Male ; Middle Aged ; Renal Dialysis

The three-day-old female infant was admitted to the hospital due to respiratory distress after birth. She was born premature at 36⁺² weeks gestational age. Prenatal ultrasound suggested abnormal development of the fetal liver vessels, and she had dyspnea that required respiratory support after birth. Chest X-ray indicated an enlarged cardiac silhouette, and cardiac ultrasound revealed enlargement of the right atrium and right ventricle. Diagnosis of hepatic hemangioma with arteriovenous fistula was confirmed through liver ultrasound and abdominal enhanced CT. At 19 days old, she underwent ligation of the hepatic artery under general anesthesia, which led to an improvement in cardiac function and she was subsequently discharged. Genetic testing revealed a mutation in the ACVRL1 gene, which was inherited from the mother. The article primarily introduces a case of neonatal heart failure caused by hepatic hemangioma with arteriovenous fistula, and multi-disciplinary diagnosis and treatment of this disease.
Female ; Humans ; Infant, Newborn ; Pregnancy ; Activin Receptors, Type II ; Arteriovenous Fistula/complications* ; Dyspnea ; Heart Failure/etiology* ; Hemangioma/complications* ; Liver

A coronary arteriovenous fistula consists of a communication between a coronary artery and a cardiac chamber, a great artery or the vena cava. It is the most common anomaly that can affect coronary perfusion. Bilateral involvement of coronary fistula, however, constitutes an uncommon subgroup of coronary arteriovenous fistulas. We report a case which shows a rare occurrence of bilateral coronary arteriovenous fistula coexistent with atrial septal defect and pulmonic stenosis.
Arteries/abnormalities ; Arteriovenous Fistula/complications* ; Case Report ; Coronary Vessel Anomalies/complications* ; Heart Septal Defects, Atrial/complications* ; Human ; Male ; Middle Age ; Pulmonary Valve Stenosis/complications* ; Veins/abnormalities

BACKGROUND: Advances in the field of interventional and diagnostic radiology have resulted in anesthesiologists becoming involved in angiographic suites. In the present study, we evaluated the characteristics of patients and the anesthetic management in an angiographic suite, to determine what factors influenced the patient outcome. METHODS: Data pertaining to patients that were anesthetized at an angiographic suite in a university hospital between 1 January 2007 and 31 December 2007 were evaluated retrospectively. Specifically, we evaluated the patient characteristics and the types of anesthesia administered, to determine which factors were related to patient outcome. RESULTS: Sixty-four percent of the patients enrolled in this study were women. Cases involving coiling for unruptured and ruptured aneurysm, embolization for intracranial arteriovenous malformation and fistula, pediatric diagnostic angiography, embolization for extracranial arteriovenous malformation, and implantable cardioverter-defibrillator (ICD) implantation all required the involvement of anesthesiologists. Major postoperatve complications included pneumonia, atelectasis, and hydrocephalus. In addition, GCS, net fluid balance, and anesthesia time had influence on patient outcome. CONCLUSIONS: We evaluated the characteristics of patient groups, procedures, and postoperative complications in an angiographic suite. The results of our analysis revealed that a through understanding of nervous and vascular pathology, as well as knowledge of current interventional radiology, neuroanesthesia and vascular anesthesia techniques is essential for development of safe and effective care.
Anesthesia ; Aneurysm ; Aneurysm, Ruptured ; Angiography ; Arteriovenous Malformations ; Defibrillators, Implantable ; Female ; Fistula ; Humans ; Hydrocephalus ; Intracranial Arteriovenous Malformations ; Pneumonia ; Postoperative Complications ; Pulmonary Atelectasis ; Radiology, Interventional ; Retrospective Studies ; Water-Electrolyte Balance

Dural arteriovenous fistulae (DAVF) is a rare intracranial vascular disease. It is pathologically characterized by direct shunting of the intracranial artery and vein, which results in cerebral ischemia, intracranial hemorrhage, neural deficit and intracranial murmur. The etiological mechanism of DAVF is not well known, but most researchers think it is associated with congenital abnormal development, especially abnormal development of dural blood vessels at the stage of embryogenesis. Recently, some researchers have found that DAVF is also associated with some acquired factors. This article reports a case who developed DAVF within 2 years after debridement of frontal bone fragmentation, depressed fracture, left frontal lobe contusion and superior sagittal sinus injury due to forehead knife-cut injury. The pathogenic mechanism was explored through a review of the related literatures.
Adult ; Angiography, Digital Subtraction ; Arteriovenous Fistula ; etiology ; surgery ; Dura Mater ; injuries ; Forehead ; injuries ; Humans ; Male ; Wounds, Stab ; complications