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. 2020:(8):107-109.
doi: 10.17116/hirurgia2020081107.

[Reconstruction of aneurismal arteriovenous fistula after arrosive bleeding]

[Article in Russian]
B V Baykov  1 , A B Zulkarnaev  1 , A G Yankovoy  1 , E V Strugailo  1
Affiliations

[Reconstruction of aneurismal arteriovenous fistula after arrosive bleeding]

[Article in Russian]
B V Baykov et al. Khirurgiia (Mosk). 2020.

Abstract
in English, Russian

Aneurysmal transformation of arteriovenous fistula (AVF) is a common complication and associated with increased risk of arrosive bleeding. Ligation of fistulous vein is conventional surgery for bleeding. This is followed by AVF malfunction and need for implantation of central venous catheter. We report reconstructive surgery and maintaining the function of AVF in a patient with aneurysmal transformation of AVF after arrosive bleeding. Reconstructive vascular surgery can significantly extend the period of patent AVF for hemodialysis. This is extremely important in patients with reduced resources of native vessels suitable for AVF formation. The same is true if conversion of the type of renal replacement therapy is associated with significant difficulties.

Аневризматическая трансформация артериовенозной фистулы (АВФ) — не редкое осложнение. При этом осложнении значительно увеличивается риск аррозивного кровотечения. При кровотечении традиционной операцией считается лигирование фистульной вены. Это приводит к утрате функции АВФ и к необходимости имплантации центрального венозного катетера. Приводим клиническое наблюдение, в котором показана возможность выполнения реконструктивной операции и сохранения функции АВФ у больного с аневризматической трансформацией фистульной вены после аррозивного кровотечения.

Keywords: aneurysm; aneurysm repair; aneurysmal transformation; arteriovenous fistula; bleeding; reconstruction.

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