[The Biocompound Shunt as a method of treatment of a. v. fistula aneurysm--a critical assessment].
We report our experiences with surgical repair of aneurysms of hemodialysis fistulas. After partial resection and suture of the aneurysm a perivascular metal mesh tubing (Biocompound Shunt) is applied to prevent the development of a new aneurysm. This method allows the use of the autologous vein for hemodialysis access for longer periods. In 6 patients treated in this way we found after a median period of 23 months a new dilatation of the vein of 10 up to 21 millimetres without stenosis, thrombosis or infection. All patients were satisfied with this type of surgery.
Frankenwaldklinik Kronach, Abteilung für Gefässchirurgie, Frankenwaldklinik Kronach, Friesener Strasse 41, 96317 Kronach. eike.dedow@frankenwaldklinik.de
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D000328:Adult; D000368:Aged; D000783:Aneurysm / Q000601:surgery*; D001132:Arm / Q000098:blood supply; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D006435:Renal Dialysis; D012086:Reoperation; D055502:Secondary Prevention; D015607:Stents; D013526:Surgical Mesh; D013536:Suture Techniques; D014680:Veins / Q000637:transplantation*