Our Experiences in the Surgical Treatment of Venous Aneurysms Appearing as Secondary To the Upper Extremity Arteriovenous Fistula on Patients With Chronic Renal Failure

Abstract

Background: Aneurysmal arterio venous fistulas used for hemodialyses for longer periods of time, but giant arteriovenous fistula aneurysms should be treated surgically to avoid the complications. In this report, we aimed to present our experiences in the surgical treatment of giant venous aneurysmal that is an important complication of arteriovenous fistulas, forming for the purpose of hemodialysis in the upper extremity. Material and methods: In 16 patients with chronic renal failure and developing giant venous aneurysm after arterio venous fistula, surgical intervention was planned. The diagnosis was confirmed by a detailed physical examination and arterial-venous color doppler ultrasonography Results: In our study, 10 male and 6 female patients were included. The average age of patients was 41.6 +/- 11.4 (26-58). Plication process for aneurysmal dilatation was performed in 12 patients. Aneurysmal segment was resected in 3 patients for arterial repair process. Venous aneurysmal dilatations were resected, arterial aneurysms were repaired surgically. All patients have achieved significant declines in the sizes of venous dilatation. Any vascular complications were encountered during the postoperative period. Conclusion: After our surgical experiences, we think that plication is a safe and effective method in the control of venous dilatation and ensuring openness.