Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080


Turkish Journal of Vascular Surgery 2017 , Vol 26 , Issue 1
Arteriyovenöz fistül anevrizmalarında cerrahi girişimler: Tek merkez deneyimimiz
Mehmet Çakıcı1, Nur Dikmen Yaman2, Evren Özçınar1, Çağdaş Baran1, Ali İhsan Hasde1, Mustafa Şırlak1, Bülent Kaya1
1Department of Cardiovascular Surgery, Ankara University School of Medicine, Ankara, Turkey
2Department of Cardiovascular Surgery, Ministry of Health, Nevşehir State Hospital, Nevşehir, Turkey
DOI : 10.5606/tjvs.2017.5 Objectives: In this study, we aimed to evaluate the results of surgical treatment methods for arteriovenous fistula (AVF) aneurysms.

Patients and methods: A total of 29 patients (14 males, 15 females; mean age 67.4±13.4 years; range 28 to 73 years) who underwent surgical repair for late aneurysmal complications of AVFs at our center between January 2013 and September 2016 were retrospectively analyzed. Access route, aneurysm characteristics, anastomosis type, age of fistula, diameter of vein and artery, and access status were evaluated.

Results: All patients were treated for true or false aneurysmal complications. Different techniques according to the complications were used; however, the most common method was ligation and excision with a rate of 96.5% (n=28). No significant complications during or after the procedure occurred and no mortality was seen at one month. Minor complications occurred in two patients with small hematomas. The median follow-up was 28 (range, 3 to 41) months.

Conclusion: Aneurysms are common and often difficult complications seen with arteriovenous vascular access for hemodialysis. Aneurysms can be managed either with conventional surgery or with endovascular techniques. Keywords : Arteriyovenöz fistül; arteriyovenöz fistül anevrizması; vasküler girişim komplikasyonları