Modified Staple Aneurysmorrhaphy for Treating Arteriovenous Fistula–Related Venous Aneurysms
Autogenous arteriovenous fistulas (AVFs) are the preferred access for hemodialysis. AVF occasionally develop venous aneurysms, and we report a modified staple aneurysmorrhaphy technique for treatment. Briefly, the lateral wall of the venous aneurysm is dissected and a longitudinal staple resection p...
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| Veröffentlicht in: | Annals of vascular surgery 2018-01, Vol.46, p.394-400 |
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| creator | Moskowitz, Robert Fakhoury, Elias James, Kevin V. |
| description | Autogenous arteriovenous fistulas (AVFs) are the preferred access for hemodialysis. AVF occasionally develop venous aneurysms, and we report a modified staple aneurysmorrhaphy technique for treatment. Briefly, the lateral wall of the venous aneurysm is dissected and a longitudinal staple resection performed. Adjunct procedures include inflow banding and outflow venous angioplasty with possible stenting. In this initial experience, 20 aneurysms were resected in 17 patients. The average AVF age at time of repair was 5.8 years. Sixteen of 17 AVF remained patent, and there were no recurrences or mortalities. One patient had a loss of thrill intraoperatively after stapling and was successfully treated with cephalic vein embolectomy. All AVF were cannulated for dialysis immediately following the procedure. The average follow-up period was 12.5 months. Given the benefits of uninterrupted fistula use and avoidance of temporary catheter placement, this technique is a promising therapy for arteriovenous fistula related venous aneurysms. |
| doi_str_mv | 10.1016/j.avsg.2017.08.015 |
| format | Article |
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AVF occasionally develop venous aneurysms, and we report a modified staple aneurysmorrhaphy technique for treatment. Briefly, the lateral wall of the venous aneurysm is dissected and a longitudinal staple resection performed. Adjunct procedures include inflow banding and outflow venous angioplasty with possible stenting. In this initial experience, 20 aneurysms were resected in 17 patients. The average AVF age at time of repair was 5.8 years. Sixteen of 17 AVF remained patent, and there were no recurrences or mortalities. One patient had a loss of thrill intraoperatively after stapling and was successfully treated with cephalic vein embolectomy. All AVF were cannulated for dialysis immediately following the procedure. The average follow-up period was 12.5 months. Given the benefits of uninterrupted fistula use and avoidance of temporary catheter placement, this technique is a promising therapy for arteriovenous fistula related venous aneurysms.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2017.08.015</identifier><identifier>PMID: 28887265</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aneurysm - etiology ; Aneurysm - physiopathology ; Aneurysm - surgery ; Angioplasty - instrumentation ; Arteriovenous Shunt, Surgical - adverse effects ; Female ; Humans ; Male ; Middle Aged ; Regional Blood Flow ; Renal Dialysis ; Retrospective Studies ; Stents ; Surgical Stapling ; Time Factors ; Treatment Outcome ; Vascular Patency ; Vascular Surgical Procedures - adverse effects ; Veins - physiopathology ; Veins - surgery</subject><ispartof>Annals of vascular surgery, 2018-01, Vol.46, p.394-400</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-b6485d54fd77fefff32af8d82238580458b8f5ad3bb55a75ec441574453448213</citedby><cites>FETCH-LOGICAL-c356t-b6485d54fd77fefff32af8d82238580458b8f5ad3bb55a75ec441574453448213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0890509617309573$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28887265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moskowitz, Robert</creatorcontrib><creatorcontrib>Fakhoury, Elias</creatorcontrib><creatorcontrib>James, Kevin V.</creatorcontrib><title>Modified Staple Aneurysmorrhaphy for Treating Arteriovenous Fistula–Related Venous Aneurysms</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><description>Autogenous arteriovenous fistulas (AVFs) are the preferred access for hemodialysis. AVF occasionally develop venous aneurysms, and we report a modified staple aneurysmorrhaphy technique for treatment. Briefly, the lateral wall of the venous aneurysm is dissected and a longitudinal staple resection performed. Adjunct procedures include inflow banding and outflow venous angioplasty with possible stenting. In this initial experience, 20 aneurysms were resected in 17 patients. The average AVF age at time of repair was 5.8 years. Sixteen of 17 AVF remained patent, and there were no recurrences or mortalities. One patient had a loss of thrill intraoperatively after stapling and was successfully treated with cephalic vein embolectomy. All AVF were cannulated for dialysis immediately following the procedure. The average follow-up period was 12.5 months. Given the benefits of uninterrupted fistula use and avoidance of temporary catheter placement, this technique is a promising therapy for arteriovenous fistula related venous aneurysms.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysm - etiology</subject><subject>Aneurysm - physiopathology</subject><subject>Aneurysm - surgery</subject><subject>Angioplasty - instrumentation</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Regional Blood Flow</subject><subject>Renal Dialysis</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Surgical Stapling</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><subject>Vascular Surgical Procedures - adverse effects</subject><subject>Veins - physiopathology</subject><subject>Veins - surgery</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0EgvL4ARYoSzYJfk3iSmwqxEsCIfFaYjnxGFylSbGTSt3xD_whX0KqAktWs5h7j2YOIYeMZoyy_GSamUV8zThlRUZVRhlskBHLGaQwlsUmGVE1pinQcb5DdmOcUsq4kmqb7HClVMFzGJGX29Z659EmD52Z15hMGuzDMs7aEN7M_G2ZuDYkjwFN55vXZBI6DL5dYNP2Mbnwsetr8_XxeY-16QbI83rxC4n7ZMuZOuLBz9wjTxfnj2dX6c3d5fXZ5CatBORdWuZSgQXpbFE4dM4JbpyyinOhQFEJqlQOjBVlCWAKwEpKBoWUIKRUnIk9crzmzkP73mPs9MzHCuvaNDgcpNlYFCBonoshytfRKrQxBnR6HvzMhKVmVK-86qleedUrr5oqPXgdSkc__L6cof2r_IocAqfrAA5fLjwGHSuPTYXWB6w6bVv_H_8bsS-LtQ</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Moskowitz, Robert</creator><creator>Fakhoury, Elias</creator><creator>James, Kevin V.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201801</creationdate><title>Modified Staple Aneurysmorrhaphy for Treating Arteriovenous Fistula–Related Venous Aneurysms</title><author>Moskowitz, Robert ; Fakhoury, Elias ; James, Kevin V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-b6485d54fd77fefff32af8d82238580458b8f5ad3bb55a75ec441574453448213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysm - etiology</topic><topic>Aneurysm - physiopathology</topic><topic>Aneurysm - surgery</topic><topic>Angioplasty - instrumentation</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Regional Blood Flow</topic><topic>Renal Dialysis</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Surgical Stapling</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><topic>Vascular Surgical Procedures - adverse effects</topic><topic>Veins - physiopathology</topic><topic>Veins - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moskowitz, Robert</creatorcontrib><creatorcontrib>Fakhoury, Elias</creatorcontrib><creatorcontrib>James, Kevin V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moskowitz, Robert</au><au>Fakhoury, Elias</au><au>James, Kevin V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified Staple Aneurysmorrhaphy for Treating Arteriovenous Fistula–Related Venous Aneurysms</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2018-01</date><risdate>2018</risdate><volume>46</volume><spage>394</spage><epage>400</epage><pages>394-400</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><abstract>Autogenous arteriovenous fistulas (AVFs) are the preferred access for hemodialysis. AVF occasionally develop venous aneurysms, and we report a modified staple aneurysmorrhaphy technique for treatment. Briefly, the lateral wall of the venous aneurysm is dissected and a longitudinal staple resection performed. Adjunct procedures include inflow banding and outflow venous angioplasty with possible stenting. In this initial experience, 20 aneurysms were resected in 17 patients. The average AVF age at time of repair was 5.8 years. Sixteen of 17 AVF remained patent, and there were no recurrences or mortalities. One patient had a loss of thrill intraoperatively after stapling and was successfully treated with cephalic vein embolectomy. All AVF were cannulated for dialysis immediately following the procedure. The average follow-up period was 12.5 months. Given the benefits of uninterrupted fistula use and avoidance of temporary catheter placement, this technique is a promising therapy for arteriovenous fistula related venous aneurysms.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>28887265</pmid><doi>10.1016/j.avsg.2017.08.015</doi><tpages>7</tpages></addata></record> |
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| ispartof | Annals of vascular surgery, 2018-01, Vol.46, p.394-400 |
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| language | eng |
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| subjects | Adult Aged Aged, 80 and over Aneurysm - etiology Aneurysm - physiopathology Aneurysm - surgery Angioplasty - instrumentation Arteriovenous Shunt, Surgical - adverse effects Female Humans Male Middle Aged Regional Blood Flow Renal Dialysis Retrospective Studies Stents Surgical Stapling Time Factors Treatment Outcome Vascular Patency Vascular Surgical Procedures - adverse effects Veins - physiopathology Veins - surgery |
| title | Modified Staple Aneurysmorrhaphy for Treating Arteriovenous Fistula–Related Venous Aneurysms |
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