title: Refashioning of an aneurysmatic arterio-venous fistula by using the multifire GIA 60 surgical stapler.
abstract: We describe a technique for refashioning an aneurysmatic arterio-venous fistula by using the multifire GIA 60 surgical stapler. After obtaining proximal and distal control of the aneurysmatic vein each aneurysmal segment of the anterior wall of the vein is excised by applying the GIA 60 stapler. The layer of the staple-line is re-enforced with one layer of 6/0 prolene continuous suture. After completion of the procedure, the size of the vein is reduced by approximately 50%. The AVFs were successfully re-used for dialysis within four weeks postoperatively.
authors.affiliation: Transplant Unit, St. Mary's Hospital, London, UK.
authors.forename: N S
authors.initials: NS
authors.lastname: Hakim
authors.forename: J
authors.initials: J
authors.lastname: Romagnoli
authors.forename: J C
authors.initials: JC
authors.lastname: Contis
authors.forename: J
authors.initials: J
authors.lastname: Akoh
authors.forename: V E
authors.initials: VE
authors.lastname: Papalois
mesh_terms: D000783:Aneurysm / Q000209:etiology* / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001916:Brachial Artery / Q000601:surgery; D006801:Humans; D017792:Surgical Stapling