Modification of the trap door technique to treat venous aneurysms in arteriovenous fistulae.
We present a modification of the "trap door" technique to treat true venous aneurysms which complicate vascular access arteriovenous fistula. The technique provides wide exposure of the aneurysm, facilitating aneurysmoraphy and permitting the exploitation of any adequate venous length for autologous reconstruction of the venous outflow. Furthermore, by precluding the proximity of the newly-reconstructed venous segments to the incised skin, their level of compromise from tissue scarring or infection is prevented.
Department of Vascular Surgery, Demokritus University of Thrace, University Hospital of Alexandroupolis, Greece.
Konstantinos C
KC
Kapoulas
Efstratios I
EI
Georgakarakos
George S
GS
Georgiadis
Miltos K
MK
Lazarides
D000368:Aged; D000783:Aneurysm / Q000209:etiology / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D016121:Brachiocephalic Veins / Q000601:surgery; D005260:Female; D006801:Humans; D017534:Radial Artery / Q000601:surgery; D006435:Renal Dialysis; D012086:Reoperation; D013524:Surgical Flaps; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*