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Revista Cubana de Angiología y Cirugía Vascular
versión On-line ISSN 1682-0037
Resumen
HONDARES GUZMAN, María del Carmen; JAIME CABRERA, Zaida; HERNANDEZ SEARA, Alejandro y PEREZ DOPAZO, Alain. Juxta-anastomotic venous aneurysm in arteriovenous fistula for hemodialysis. Rev Cubana Angiol Cir Vasc [online]. 2022, vol.23, n.2 Epub 01-Jul-2022. ISSN 1682-0037.
Introduction:
Despite the great technical advance represented by internal arterio-venous fistulas for hemodialysis, these are not exempt from complications that compromise their durability. Among them are juxta-anastomotic venous aneurysms.
Objective:
To present the surgical treatment used to repair arteriovenous fistula for hemodialysis in Juxta-Anastomotic Venous Aneurysm.
Methods:
A 54-year-old female patient, black skin color, with a history of chronic renal failure of twelve years of evolution and failed kidney transplantation. She presented a juxta-anastomotic venous aneurysm, located in a humerus-cephalic arteriovenous fistula in the left upper limb, confirmed by Eco-Doppler.
Results:
Aneurysmectomy and replacement grafting with expandable poly-tetrafluorethylene vascular prostheses were used as surgical treatments. Finally, the arterio-venous fistula and its permeability were preserved.
Conclusions:
Arterio-venous fistula as an access route for hemodialysis was satisfactory in terms of its functionality and use.
Palabras clave : arterio-venous fistula; hemodialysis; aneurysm.