1.Surgical management of pseudoaneurysm complicating arteriovenous fistula for hemodialysis.
Yue-hong ZHENG ; Chang-wei LIU ; Heng GUAN ; Hong-bing GAN ; Ui KUOK ; Chao-liang LI ; Jian ZHANG ; Dias Che Sok IN ; Furtado RUI
Chinese Medical Sciences Journal 2007;22(3):196-198
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
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