Arteriovenous fistula aneurysm--plicate, not ligate.
BACKGROUND
Arteriovenous fistula (AVF) created for haemodialysis can be complicated by aneurysm formation.


METHODS
Ligation of the fistula is often required to prevent aneurysmal rupture and the life-threatening haemorrhage that ensues. Other methods of treatment involve using foreign bodies like mesh and grafts.


METHODS
We describe a new method in the treatment of this condition--plication. It involves plicating the excess free wall of the aneurysm with sutures and does not require resection or anastomosis.


RESULTS
Early results show that this method shrinks the aneurysm size and reduces the risk of haemorrhage.


CONCLUSIONS
The AVF can continue to be used and the patient is spared the agony of having to go through the entire cycle of creating a new vascular access site.
Lo
Hong-Yee
HY
Department of General Surgery, Singapore General Hospital, Singapore. lohongyee@yahoo.com
Tan
Seck-Guan
SG
D000783:Aneurysm / Q000209:etiology* / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D006801:Humans; D006435:Renal Dialysis; D016896:Treatment Outcome