Surgical management of pseudoaneurysm complicating arteriovenous fistula for hemodialysis.

Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih Pub Date : 2007-09-01

Yue-hong Zheng, Chang-wei Liu, Heng Guan, Hong-bing Gan, Ui Kuok, Chao-liang Li, Jian Zhang, Dias Che Sok In, Furtado Rui

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Abstract

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

Methods: Twenty 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.

Results: All 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.

Conclusion: Surgical repair is the best choice for PA of AVF for renal hemodialysis.

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血液透析假性动脉瘤并发动静脉瘘的手术治疗。

目的:报道肾血液透析假性动脉瘤(PA)修复动静脉瘘(AVF)的手术经验。方法:对20例在澳门康泰中心医院行肾血液透析AVF PA修复术的患者进行治疗。上肢AVF PAs 16例，下肢pa 4例。所有患者均行手术治疗。结果:全部手术完成，无死亡病例。1例急性血栓形成，经立即取栓恢复，无并发症。1例术后切口出血患者停用低分子肝素后恢复。1只AVF 6周后仍未成熟，经支静脉结扎后恢复。还有一名患者死于复发性脑梗死。结论:手术修复是肾血液透析AVF PA的最佳选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih

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