Journal Article Successful Surgical Remodeling of a Giant Venous Aneurysm Formed in an Autogenous Arteriovenous Fistula : A Case Report

Shiraya, Suguru  ,  Nakamura, Yoshinobu  ,  Fujiwara, Yoshikazu  ,  Harada, Shingo  ,  Kishimoto, Yuichiro  ,  Onohara, Takeshi  ,  Otsuki, Yuki  ,  Nishimura, Motonobu

61 ( 2 )  , pp.142 - 144 , 2018-06-18 , Tottori University Faculty of Medicine
One complication of an autogenous arteriovenous fistula (AVF) for hemodialysis is the formation of a venous aneurysm. The treatment of a massive aneurysmal AVF generally involves ligation or resection with the use of prosthetic interposition. We present the case of a 46-year-old man in whom an AVF aneurysm was successfully treated by placating the excess free wall of the aneurysm with sutures. This method is a simple and effective intervention for managing aneurysm-associated complications. In addition, this approach helps to maintain the benefits of autogenous access while conserving future dialysis sites.

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