title: Utilization of a tubularized cormatrix extracellular matrix for repair of an arteriovenous fistula aneurysm.
abstract: Salvage of failing autogenous arteriovenous fistula (AVF) access sites is a primary concern in dialysis access preservation and a key emphasis of the Kidney Disease Outcomes Quality Initiative. Aneurysmal degeneration of autogenenous fistulae represents a significant complication, associated with potential skin breakdown, rupture, infection, and access loss. The utilization of conduits derived from extracellular matrix (ECM), currently approved for cardiovascular repairs, may mitigate some of the risks associated with salvage using synthetic materials. We report the utilization of a tubularized CorMatrix(®) ECM graft as a novel conduit for repair of a brachiocephalic AVF aneurysm.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Memorial Hermann Heart and Vascular Institute, University of Texas Medical School, Houston, TX. Electronic address: Joseph.J.DuBose@uth.tmc.edu.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: DuBose
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Memorial Hermann Heart and Vascular Institute, University of Texas Medical School, Houston, TX.
authors.forename: Ali
authors.initials: A
authors.lastname: Azizzadeh
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001132:Arm / Q000098:blood supply*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001672:Biocompatible Materials; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D005109:Extracellular Matrix; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D010496:Pericardium; D006435:Renal Dialysis
chemical_list: D001672:Biocompatible Materials