Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021:(1):90-92.
doi: 10.17116/hirurgia202101190.

[Complex reconstruction of arteriovenous fistula for hemodialysis]

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

[Complex reconstruction of arteriovenous fistula for hemodialysis]

[Article in Russian]
B V Baykov et al. Khirurgiia (Mosk). 2021.

Abstract
in English, Russian

We report a complex reconstruction of arteriovenous fistula (AVF). Proximal stenosis of cephalic vein was followed by aneurysms of fistulous veins (distal segment of cephalic vein and median cubital vein) complicated by AVF thrombosis. Blood outflow from AVF was retrograde. One week after thrombosis, an aneurysm of median cubital vein containing dense clots was excised. We resected cephalic vein wall and repaired the vessel. Anastomosis with the brachial artery was created distal to the last anastomosis. Proximal cephalic vein repair was performed using resected aneurysm walls. After a year, AVF has been successfully used for hemodialysis.

Описан клинический пример сложной реконструкции артериовенозной фистулы (АВФ). В связи с проксимальным стенозом v. cephalica у пациентки развились аневризмы «фистульных» вен: сегмента v. cephalica и v. intermedia cubiti, осложнившиеся тромбозом АВФ. Отток крови от АВФ осуществлялся в ретроградном направлении. Через неделю после тромбоза аневризма v. intermedia cubiti, содержащая плотные тромбы, была иссечена. Выполнена аневризморафия v. cephalica, избыток стенки иссечен. Сформирован анастомоз реконструированной вены с плечевой артерией дистальнее прошлого анастомоза. Выполнена пластика стенозированного проксимального сегмента v. cephalica с использованием резецированных стенок аневризмы. Спустя 1 год АВФ успешно используется для гемодиализа.

Keywords: aneurysm; arteriovenous fistula; hemodialysis; stenosis.

PubMed Disclaimer

LinkOut - more resources