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Revista Cubana de Angiología y Cirugía Vascular
On-line version ISSN 1682-0037
Abstract
HONDARES GUZMAN, María del Carmen; JAIME CABRERA, Zaida; HERNANDEZ SEARA, Alejandro and PEREZ DOPAZO, Alain. Juxtaanastomotic venous aneurysm in arteriovenous fistula for hemodialysis. Rev Cubana Angiol Cir Vasc [online]. 2022, vol.23, n.1 Epub Feb 20, 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 juxtaanastomotic venous aneurysms.
Objective:
Present the surgical treatment used to repair juxtaanastomotic venous aneurysms.
Case presentation:
54-year-old patient, female and black skin color. She presented a history of chronic renal failure of 12 years of evolution, with failed kidney transplant, which had a juxtaanastomotic venous aneurysm, located in a humerus-cephalic arterio-venous fistula in the left upper limb, which was confirmed by Doppler echo. Aneurysmectomy and replacement grafting with expandable polytetrafluorethylene vascular prostheses were used as surgical treatment. Finally, the arterio-venous fistula was preserved, as well as its permeability.
Conclusions:
The evolution was satisfactory in terms of durability and use as an access route for hemodialysis.
Keywords : arterio-venous fistula; hemodialysis; aneurysm.