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Journals / Damar Cerrahi Dergisi / 2013 / Cilt: 22 - Sayı: 3

Gerçek arteriovenöz fistül anevrizmalarının rezeksiyonu ve safen ven greft interpoze edilerek fonksiyonunun korunması

Resection of true aneurysmal arteriovenous fistulas and preserving their functions using segmental saphenous graft ınterposition

Hacı Alper UZUN
Gökhan LAFÇI
Ömer Faruk ÇİÇEK
Ersin KADİROĞULLARI
Mustafa Cüneyt ÇİÇEK
Kerim ÇAĞLI
Adem İlkay DİKEN
Pages
263–266
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There were no vascular complications in the remaining.Conclusion: Our results show that this method preserves AVF functions and prevents the complications of the aneurysms.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Arteriovenous fistulas (AVF) created for hemodialysis may be complicated by aneurysm formation.
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Key Findings & Data:The aim of this article is to describe our experience with segmental saphenous graft interposition to treat AVF aneurysms.Material and Methods: Between June 2007 and June 2011, 23 patients who admitted to our clinic with symptoms related to single or multiple AVF aneurysms were included in the study.
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Conclusion & Impact:There were no vascular complications in the remaining.Conclusion: Our results show that this method preserves AVF functions and prevents the complications of the aneurysms.
🔬Design:Research Article
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Arteriovenous fistulas (AVF) created for hemodialysis may be complicated by aneurysm formation. The aim of this article is to describe our experience with segmental saphenous graft interposition to treat AVF aneurysms.Material and Methods: Between June 2007 and June 2011, 23 patients who admitted to our clinic with symptoms related to single or multiple AVF aneurysms were included in the study. Under general anesthesia, the aneurysms were resected and a reverse saphenous vein graft was implanted in an end-to-end manner, after inflow and outflow of aneurysmatic fistula tract was clamped.Results: Aneurysms were secondary to brachial-cephalic fistula in 16 (69.5%) patients and radial-cephalic fistula in 7 (30.5%) patients. The mean follow-up period was 40.2±9.4 months, with a range 13 to 61 months. The saphenous vein thrombosed in 3 patients in brachial-cephalic fistula and in 3 patients in radial-cephalic fistula groups. There were no vascular complications in the remaining.Conclusion: Our results show that this method preserves AVF functions and prevents the complications of the aneurysms. Preservation techniques such as segmental saphenous graft interposition may be performed for treating functioning AVF aneurysms.

Özet

Amaç: Hemodiyaliz amacıyla oluşturulan arteriovenöz fistüllerin önemli bir komplikasyonu, anevrizma gelişmesidir. Bu çalışmanın amacı anevrizma gelişmiş arteriovenöz fistüllerin safen ven grefti kullanılarak onarılmasıyla ilgili tecrübemizi aktarmaktır.Gereç ve Yöntemler: Haziran 2007 ve Haziran 2011 tarihleri arasında tek veya çoklu arteriovenöz fistül anevrizması nedeniyle kliniğimize başvuran 23 hasta çalışmaya dahil edildi. Genel anestezi altında, anevrizmatik fistül segmenti proximal ve distalden klemplenerek rezeke edildi ve yerine safen ven greft interpoze edildi.Bulgular: Anevrizmalar 16 (%69,5) hastada brakiyal-sefalik fistül, 7 (%30,5) hastada radiyal-sefalik fistüle sekonderdi. Hastalar ortalama 40,2±9,4 (13-61) ay takip edildi. Safen greft brakiyal-sefalik fistül ve radiyal-sefalik fistül gruplarında 3er hastada tromboze oldu. Diğer hastalarda vasküler komplikasyon izlenmedi.Sonuç: Sonuçlar arteriovenöz fistül anevrizmalarının güvenle tamir edilerek fonksiyonlarının korunabileceğini ortaya koymuştur. Segmental safen greft interpozisyonu gibi koruyucu teknikler fonksiyonel arteriyovenöz fistül anevrizmalarını tedavi etmek için kullanılabilir.

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Cite This Article

UZUN, H. A., LAFÇI, G., ÇİÇEK, Ö. F., KADİROĞULLARI, E., ÇİÇEK, M. C., ÇAĞLI, K., DİKEN, A. İ. (2022). Gerçek arteriovenöz fistül anevrizmalarının rezeksiyonu ve safen ven greft interpoze edilerek fonksiyonunun korunması. Damar Cerrahi Dergisi, Cilt: 22 - Sayı: 3, 263–266. https://ajindex.com/articles/486776

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