A Hyperdynamic Arteriovenous Fistula Aneurysm After Long Time Renal Transplantation
We report a case of a 53-year old male with a giant aneurysm of an arteriovenous fistula (AVF) in the left arm, which was created several years ago due to renal failure secondary to Alport’s syndrome. The AVF had not been used for over 38 years after successful renal transplantation at the age of 15...
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| Veröffentlicht in: | Vascular and endovascular surgery 2023-02, Vol.57 (2), p.182-185 |
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| container_title | Vascular and endovascular surgery |
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| creator | Klüsch, Victoria Aper, Thomas Sonnenschein, Kristina Becker, Lena Sophie Umminger, Julia Haverich, Axel Rustum, Saad |
| description | We report a case of a 53-year old male with a giant aneurysm of an arteriovenous fistula (AVF) in the left arm, which was created several years ago due to renal failure secondary to Alport’s syndrome. The AVF had not been used for over 38 years after successful renal transplantation at the age of 15. In the following, the patient underwent a regular follow-up with regularly visits by physicians and/or a nephrologist. A growth of the unused AVF over time was noticed, but surgical resection was not performed or recommended. Finally, the patient presented in our clinic with a severe hyperdynamic AVF aneurysm, so that we decided to treat the aneurysmal AVF surgically including exclusion the arteriovenous anastomose and reconstruction of the left arm vessels.
Conclusion
Closure of arteriovenous fistula should be considered in patients who underwent successful renal transplantation to avoid potential complications that may result from the presence of unused fistula especially, in patients who are predisposed to aneurysm formation in the future. |
| doi_str_mv | 10.1177/15385744221131209 |
| format | Article |
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Conclusion
Closure of arteriovenous fistula should be considered in patients who underwent successful renal transplantation to avoid potential complications that may result from the presence of unused fistula especially, in patients who are predisposed to aneurysm formation in the future.</description><identifier>ISSN: 1538-5744</identifier><identifier>EISSN: 1938-9116</identifier><identifier>DOI: 10.1177/15385744221131209</identifier><identifier>PMID: 36206038</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aneurysm - diagnostic imaging ; Aneurysm - etiology ; Aneurysm - surgery ; Arteriovenous Fistula - diagnostic imaging ; Arteriovenous Fistula - etiology ; Arteriovenous Fistula - therapy ; Arteriovenous Shunt, Surgical - adverse effects ; Humans ; Kidney Transplantation - adverse effects ; Renal Dialysis - adverse effects ; Treatment Outcome</subject><ispartof>Vascular and endovascular surgery, 2023-02, Vol.57 (2), p.182-185</ispartof><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c270t-d76feacf0efd7980432270736d99d4402dd378fef6252ec76db88c196f5110f33</citedby><cites>FETCH-LOGICAL-c270t-d76feacf0efd7980432270736d99d4402dd378fef6252ec76db88c196f5110f33</cites><orcidid>0000-0002-5289-8786</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/15385744221131209$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/15385744221131209$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36206038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klüsch, Victoria</creatorcontrib><creatorcontrib>Aper, Thomas</creatorcontrib><creatorcontrib>Sonnenschein, Kristina</creatorcontrib><creatorcontrib>Becker, Lena Sophie</creatorcontrib><creatorcontrib>Umminger, Julia</creatorcontrib><creatorcontrib>Haverich, Axel</creatorcontrib><creatorcontrib>Rustum, Saad</creatorcontrib><title>A Hyperdynamic Arteriovenous Fistula Aneurysm After Long Time Renal Transplantation</title><title>Vascular and endovascular surgery</title><addtitle>Vasc Endovascular Surg</addtitle><description>We report a case of a 53-year old male with a giant aneurysm of an arteriovenous fistula (AVF) in the left arm, which was created several years ago due to renal failure secondary to Alport’s syndrome. The AVF had not been used for over 38 years after successful renal transplantation at the age of 15. In the following, the patient underwent a regular follow-up with regularly visits by physicians and/or a nephrologist. A growth of the unused AVF over time was noticed, but surgical resection was not performed or recommended. Finally, the patient presented in our clinic with a severe hyperdynamic AVF aneurysm, so that we decided to treat the aneurysmal AVF surgically including exclusion the arteriovenous anastomose and reconstruction of the left arm vessels.
Conclusion
Closure of arteriovenous fistula should be considered in patients who underwent successful renal transplantation to avoid potential complications that may result from the presence of unused fistula especially, in patients who are predisposed to aneurysm formation in the future.</description><subject>Aneurysm - diagnostic imaging</subject><subject>Aneurysm - etiology</subject><subject>Aneurysm - surgery</subject><subject>Arteriovenous Fistula - diagnostic imaging</subject><subject>Arteriovenous Fistula - etiology</subject><subject>Arteriovenous Fistula - therapy</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Humans</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Renal Dialysis - adverse effects</subject><subject>Treatment Outcome</subject><issn>1538-5744</issn><issn>1938-9116</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAUhYMozvj4AW4kSzcdc5M2SZdl8AUDgo7rEpuboUMfY9IK_fdmGHUjuLqXe757OBxCroAtAJS6hUzoTKUp5wACOMuPyBxyoZMcQB7HPerJHpiRsxC2jIGGVJ-SmZCcSSb0nLwW9HHaobdTZ9q6ooUf0Nf9J3b9GOh9HYaxMbTocPRTaGnhokxXfbeh67pF-oKdaejamy7sGtMNZqj77oKcONMEvPye5-Tt_m69fExWzw9Py2KVVFyxIbFKOjSVY-isyjVLBY93JaTNc5umjFsrlHboJM84Vkrad60ryKXLAJgT4pzcHHx3vv8YMQxlW4cKmxgEY_qSKy4gS2XGIwoHtPJ9CB5dufN1a_xUAiv3XZZ_uow_19_243uL9vfjp7wILA5AMBsst_3oYxnhH8cvEHZ7oQ</recordid><startdate>202302</startdate><enddate>202302</enddate><creator>Klüsch, Victoria</creator><creator>Aper, Thomas</creator><creator>Sonnenschein, Kristina</creator><creator>Becker, Lena Sophie</creator><creator>Umminger, Julia</creator><creator>Haverich, Axel</creator><creator>Rustum, Saad</creator><general>SAGE Publications</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><orcidid>https://orcid.org/0000-0002-5289-8786</orcidid></search><sort><creationdate>202302</creationdate><title>A Hyperdynamic Arteriovenous Fistula Aneurysm After Long Time Renal Transplantation</title><author>Klüsch, Victoria ; Aper, Thomas ; Sonnenschein, Kristina ; Becker, Lena Sophie ; Umminger, Julia ; Haverich, Axel ; Rustum, Saad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c270t-d76feacf0efd7980432270736d99d4402dd378fef6252ec76db88c196f5110f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aneurysm - diagnostic imaging</topic><topic>Aneurysm - etiology</topic><topic>Aneurysm - surgery</topic><topic>Arteriovenous Fistula - diagnostic imaging</topic><topic>Arteriovenous Fistula - etiology</topic><topic>Arteriovenous Fistula - therapy</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Humans</topic><topic>Kidney Transplantation - adverse effects</topic><topic>Renal Dialysis - adverse effects</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klüsch, Victoria</creatorcontrib><creatorcontrib>Aper, Thomas</creatorcontrib><creatorcontrib>Sonnenschein, Kristina</creatorcontrib><creatorcontrib>Becker, Lena Sophie</creatorcontrib><creatorcontrib>Umminger, Julia</creatorcontrib><creatorcontrib>Haverich, Axel</creatorcontrib><creatorcontrib>Rustum, Saad</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>Vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klüsch, Victoria</au><au>Aper, Thomas</au><au>Sonnenschein, Kristina</au><au>Becker, Lena Sophie</au><au>Umminger, Julia</au><au>Haverich, Axel</au><au>Rustum, Saad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Hyperdynamic Arteriovenous Fistula Aneurysm After Long Time Renal Transplantation</atitle><jtitle>Vascular and endovascular surgery</jtitle><addtitle>Vasc Endovascular Surg</addtitle><date>2023-02</date><risdate>2023</risdate><volume>57</volume><issue>2</issue><spage>182</spage><epage>185</epage><pages>182-185</pages><issn>1538-5744</issn><eissn>1938-9116</eissn><abstract>We report a case of a 53-year old male with a giant aneurysm of an arteriovenous fistula (AVF) in the left arm, which was created several years ago due to renal failure secondary to Alport’s syndrome. The AVF had not been used for over 38 years after successful renal transplantation at the age of 15. In the following, the patient underwent a regular follow-up with regularly visits by physicians and/or a nephrologist. A growth of the unused AVF over time was noticed, but surgical resection was not performed or recommended. Finally, the patient presented in our clinic with a severe hyperdynamic AVF aneurysm, so that we decided to treat the aneurysmal AVF surgically including exclusion the arteriovenous anastomose and reconstruction of the left arm vessels.
Conclusion
Closure of arteriovenous fistula should be considered in patients who underwent successful renal transplantation to avoid potential complications that may result from the presence of unused fistula especially, in patients who are predisposed to aneurysm formation in the future.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>36206038</pmid><doi>10.1177/15385744221131209</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-5289-8786</orcidid></addata></record> |
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| ispartof | Vascular and endovascular surgery, 2023-02, Vol.57 (2), p.182-185 |
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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List; Alma/SFX Local Collection |
| subjects | Aneurysm - diagnostic imaging Aneurysm - etiology Aneurysm - surgery Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - etiology Arteriovenous Fistula - therapy Arteriovenous Shunt, Surgical - adverse effects Humans Kidney Transplantation - adverse effects Renal Dialysis - adverse effects Treatment Outcome |
| title | A Hyperdynamic Arteriovenous Fistula Aneurysm After Long Time Renal Transplantation |
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