[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.
Dedow
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Frankenwaldklinik Kronach, Abteilung für Gefässchirurgie, Frankenwaldklinik Kronach, Friesener Strasse 41, 96317 Kronach. eike.dedow@frankenwaldklinik.de
Kaduk
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M
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*