ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Aneurysmorrhaphy and plication in the revisions of arteriovenous fistula aneurysm: our clinical experience
İsmail Oral Hastaoğlu, Hamdi Toköz, Fuat Bilgen
Özel Erdem Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2014.8495
Background: This study aims to investigate the reliability of aneurysmorrhaphy method which allows distal dialysis access through conduit obtained from the native tissue of the patient without using an autogenous and non-autogenous grafts.

Methods: Between August 2007 and February 2013, 14 patients (6 males, 8 females; mean age 54.2 years; range 28 to 74 years) with arteriovenous fistula aneurysm who underwent aneurysmorrhaphy in our clinic were retrospectively analyzed.

Results: No fistula loss was seen in the early period. Only two patients (14%) needed temporary catheterization for shorter than two weeks. The mean follow-up was 13.8 months (range, 2 to 36 months). One patient died due to myocardial infarction during follow-up. Two patients (14.3%) had steal syndrome at three days and four months following the intervention. Primary fistula patency was 71.4%, while secondary fistula patency was 85.7%.

Conclusion: Aneurysmorrhaphy does not require synthetic graft and saphenous vein use in the revisions of arteriovenous fistula aneurysm. It also reduces the proximal migration of the shunt and catheter need. We believe that aneurysmorrhaphy, as a safe and satisfactory technique, should be adopted widely.

Keywords : Arteriovenous fistula aneurysm/revision; plication
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