Surgical management of pseudoaneurysm complicating arteriovenous fistula for hemodialysis.
OBJECTIVE
To report surgical experience in pseudoaneurysm (PA) repair of arteriovenous fistula (AVF) for renal hemodialysis.


METHODS
Twenty patients undergoing PA repair of AVF for renal hemodialysis were treated in Central Hospital Conde S. Januario of Macao. Sixteen patients had PAs of AVF in upper extremities, 4 in lower extremities. All patients were treated with surgical therapy.


RESULTS
All operations were finished without death. One patient suffered from acute thrombosis, recovered without any complication through instant thrombectomy. One patient with postoperative incision bleeding recovered after low molecular weight heparin was ceased. And one AVF could not be mature six weeks later, was recovered after ligation of branch vein. And one patient died due to recurrent cerebral infarction.


CONCLUSIONS
Surgical repair is the best choice for PA of AVF for renal hemodialysis.
Zheng
Yue-hong
YH
Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730. yuehongzheng@yahoo.com
Liu
Chang-wei
CW
Guan
Heng
H
Gan
Hong-bing
HB
Kuok
Ui
U
Li
Chao-liang
CL
Zhang
Jian
J
In
Dias Che Sok
DC
Rui
Furtado
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000150:complications / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis