Hemodiyaliz Hastalarında Arteriyovenöz Fistül Komplikasyonu: PTFE Sentetik Greft Yalancı Anevrizma Tamirinde İki Farklı Cerrahi Girişim

Serdar Badem; Kenan Varol; Murat Uğurlucan

ARTERIOVENOUS FISTULA COMPLICATION IN HEMODIALYSIS PATIENTS: TWO DIFFERENT SURGICAL INTERVENTIONS FOR THE TREATMENT OF PTFE SYNTHETIC GRAFT PSEUDOANEURYSM

Year 2018, Issue: 2, 185 - 188, 01.06.2018

Serdar Badem Kenan Varol Murat Uğurlucan

Abstract

Hemodialysis is life saving for patients with chronic renal failure, and vascular access significantly affects quality of life of individuals. As the duration of the use of arteriovenous fistula increases, the variety of complications also rises. Although autologous vascular grafts are used in the first order, recently, as a last option, the number of patients with synthetic grafts has increased. Nearly all the patients with chronic renal failure experience late term complications of arteriovenous fistula operations for hemodialysis. In this report we present two different surgical treatment techniques for the treatment of pseudoaneurysms at two different localizations which occurred secondary to multiple punctures.

Keywords

Chronic renal failure, hemodialysis, arteriovenous fistula, synthetic graft, pseudoaneurysm

References

1. Jenkins AM, Buist TA, Glover SD. Medium-term follow-up of forty autogenous vein and forty (Gore-Tex) grafts for vascular access. Surgery 1980;88:667–72.
2. Rooijens PP, Burgmans JP, Yo TI, Hop WC, de Smet AA, van den Dorpel MA, et al. Autogenous radial-cephalic or prosthetic brachialantecubital forearm loop AVF in patients with compromised vessels? A randomized, multicenter study of the patency of primary hemodialysis access. J Vasc Surg 2005;42(3):481–6. https://doi. org/10.1016/j.jvs.2005.05.025
3. Cudi Ökten C, Günday M, Demirbaş M. Surgical treatment of venous aneurysms developing in arteriovenous fistulae in hemodialysis patients. Türk Göğüs Kalp Damar Cer Derg 2010;18:196–9.
4. Eugster T, Wigger P, Bölter S, Bock A, Hodel K, Stierli P. Brachial artery dilatation after arteriovenous fistulae in patients after renal transplantation: a 10-year follow-up with ultrasound scan. J Vasc Surg 2003;37:564–7. https://doi.org/10.1067/mva.2003.94
5. Lin PH, Johnson CK, Pullium JK, Koffron AJ, Conklin B, Terramani TT, et al. Transluminal stent graft repair with Wallgraft endoprosthesis in a porcine arteriovenous graft pseudoaneurysm model. J Vasc Surg 2003;37:175–81. https://doi.org/10.1067/mva.2002.87
6. Witz M, Werner M, Bernheim J, Shnaker A, Lehmann J, Korzets Z. Ultrasound-guided compression repair of pseudoaneurysms complicating a forearm dialysis arteriovenous fistula. Nephrol Dial Transplant 2000;15:1453–4.
7. Clark TW, Abraham RJ. Thrombin injection for treatment of brachial artery pseudoaneurysm at the site of a hemodialysis fistula: report of two patients. Cardiovasc Intervent Radiol 2000;23:396–400.
8. Yang TH, Lee CH, Tsai CS Tsai YT. Successful surgical treatment of a rupture to an arteriovenous fistula aneurysm. Cardiovasc J Afr 2009;20:196–7.
9. Karabay O, Yetkin U, Silistreli E, Uskent H, Önol H, Açıkel Ü. Surgical management of giant aneurysms complicating arteriovenous fistulae. J Int Med Res 2004;32:214–7.
10. Lo HY, Tan SG. Arteriovenous fistula aneurysm –plicate, not ligate. Ann Acad Med Singapore 2007;36:851–3.
11. Romano M, Lo Monte A, Buscemi G. Complications of vascular accesses in hemodialysis. Ann Ital Chir 1995;66:27–35.
12. Konner K, Nonnast-Daniel B, Ritz E. The arteriovenous fistula. J Am Soc Nephrol 2003;14:1669–80.
13. Dix FP, Khan Y, Al-Khaffaf H. The brachial artery-basilic vein arteriovenous fistula in vascular access for haemodialysis –a review paper. Eur J Vasc Endovasc Surg 2006;31:70–9. https://doi.org/10.1016/j. ejvs.2005.08.008

Hemodiyaliz Hastalarında Arteriyovenöz Fistül Komplikasyonu: PTFE Sentetik Greft Yalancı Anevrizma Tamirinde İki Farklı Cerrahi Girişim

Year 2018, Issue: 2, 185 - 188, 01.06.2018

Serdar Badem Kenan Varol Murat Uğurlucan

Abstract

Kronik böbrek yetmezliği olan hastalarda hemodiyaliz uygulaması hasta için hayat kurtarıcı olup, damar erişim yolu tüm hastaların konforlu hayat kalitesini anlamlı ölçüde etkiler. Son dönem böbrek yetmezliği hastalarında arteriyovenöz fistül kullanımı ne kadar uzun olursa, karşılaşılacak komplikasyonların çeşitliliği de o kadar fazla olmaktadır. Her ne kadar ilk planda otolog damar greftleri kullanılsa da, günümüzde son çare olarak sentetik greftli hasta sayısı da gittikçe artmaktadır. Son dönem böbrek yetmezliği için yapılan arteriyovenöz fistül operasyonlarının geç dönem komplikasyonları ile hemen hemen tüm hemodiyaliz hastaları karşılaşmaktadır. Bu makalede sentetik greft üzerinde tekrarlayan ponksiyonlara bağlı iki farklı lokalizasyonda oluşan yalancı anevrizma tamirinde iki farklı cerrahi tedavi tekniği anlatılmaktadır.

Keywords

Kronik böbrek yetmezliği, hemodiyaliz, arteriyovenöz fistül, sentetik greft, yalancı anevrizma

References

1. Jenkins AM, Buist TA, Glover SD. Medium-term follow-up of forty autogenous vein and forty (Gore-Tex) grafts for vascular access. Surgery 1980;88:667–72.
2. Rooijens PP, Burgmans JP, Yo TI, Hop WC, de Smet AA, van den Dorpel MA, et al. Autogenous radial-cephalic or prosthetic brachialantecubital forearm loop AVF in patients with compromised vessels? A randomized, multicenter study of the patency of primary hemodialysis access. J Vasc Surg 2005;42(3):481–6. https://doi. org/10.1016/j.jvs.2005.05.025
3. Cudi Ökten C, Günday M, Demirbaş M. Surgical treatment of venous aneurysms developing in arteriovenous fistulae in hemodialysis patients. Türk Göğüs Kalp Damar Cer Derg 2010;18:196–9.
4. Eugster T, Wigger P, Bölter S, Bock A, Hodel K, Stierli P. Brachial artery dilatation after arteriovenous fistulae in patients after renal transplantation: a 10-year follow-up with ultrasound scan. J Vasc Surg 2003;37:564–7. https://doi.org/10.1067/mva.2003.94
5. Lin PH, Johnson CK, Pullium JK, Koffron AJ, Conklin B, Terramani TT, et al. Transluminal stent graft repair with Wallgraft endoprosthesis in a porcine arteriovenous graft pseudoaneurysm model. J Vasc Surg 2003;37:175–81. https://doi.org/10.1067/mva.2002.87
6. Witz M, Werner M, Bernheim J, Shnaker A, Lehmann J, Korzets Z. Ultrasound-guided compression repair of pseudoaneurysms complicating a forearm dialysis arteriovenous fistula. Nephrol Dial Transplant 2000;15:1453–4.
7. Clark TW, Abraham RJ. Thrombin injection for treatment of brachial artery pseudoaneurysm at the site of a hemodialysis fistula: report of two patients. Cardiovasc Intervent Radiol 2000;23:396–400.
8. Yang TH, Lee CH, Tsai CS Tsai YT. Successful surgical treatment of a rupture to an arteriovenous fistula aneurysm. Cardiovasc J Afr 2009;20:196–7.
9. Karabay O, Yetkin U, Silistreli E, Uskent H, Önol H, Açıkel Ü. Surgical management of giant aneurysms complicating arteriovenous fistulae. J Int Med Res 2004;32:214–7.
10. Lo HY, Tan SG. Arteriovenous fistula aneurysm –plicate, not ligate. Ann Acad Med Singapore 2007;36:851–3.
11. Romano M, Lo Monte A, Buscemi G. Complications of vascular accesses in hemodialysis. Ann Ital Chir 1995;66:27–35.
12. Konner K, Nonnast-Daniel B, Ritz E. The arteriovenous fistula. J Am Soc Nephrol 2003;14:1669–80.
13. Dix FP, Khan Y, Al-Khaffaf H. The brachial artery-basilic vein arteriovenous fistula in vascular access for haemodialysis –a review paper. Eur J Vasc Endovasc Surg 2006;31:70–9. https://doi.org/10.1016/j. ejvs.2005.08.008

There are 13 citations in total.

Details

Primary Language	Turkish
Journal Section	Case Report
Authors	Serdar Badem Kenan Varol Murat Uğurlucan
Publication Date	June 1, 2018
Published in Issue	Year 2018Issue: 2

Cite

EndNote	Badem S, Varol K, Uğurlucan M (June 1, 2018) Hemodiyaliz Hastalarında Arteriyovenöz Fistül Komplikasyonu: PTFE Sentetik Greft Yalancı Anevrizma Tamirinde İki Farklı Cerrahi Girişim. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2 185–188.