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Gran pseudoaneurisma venoso en sitio de fístula arteriovenosa

01 Jan 2013-Vol. 29, Iss: 3, pp 324-326

TL;DR: El pseudoaneurisma es una complicacion que puede permanecer subdiagnosticada por personal no familiarizado with the angiologia; por esto es indispensable the implantacion of programas multidisciplinarios para the atencion of pacientes nefropatas cronicos terminales.

AbstractLos accesos vasculares para hemodialisis siguen siendo una opcion terapeutica sustitutiva en pacientes con enfermedad renal cronica terminal. El procedimiento mas comun es la fistula arteriovenosa. La formacion de un pseudoaneurisma es una complicacion que puede pasar inadvertida pero con gran potencial de aumentar la morbilidad del paciente en caso de rotura. Esta reportado que incluso 15% de los reingresos hospitalarios de pacientes nefropatas se relacionan con complicaciones del acceso vascular. El pseudoaneurisma es una complicacion que puede permanecer subdiagnosticada por personal no familiarizado con la angiologia; por esto es indispensable la implantacion de programas multidisciplinarios para la atencion de pacientes nefropatas cronicos terminales. Se comunica el caso de un paciente con un gran pseudoaneurisma venoso en el sitio de una fistula arteriovenosa

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TL;DR: A 6 year old male patient with history of right hand trauma one month before his initial consultation, presented with a palpable, non tender, pulsate mass in his hand.
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References
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Journal ArticleDOI
01 Jan 1995-Nephron
TL;DR: Long-term patency of access was evaluated in 76 patients, without diabetes mellitus, who had been on dialysis for at least 3 years and 41 patients, with diabetes mell Titus, whoHad been ondialysis for over 2 years, finding fistulas functioned longer than grafts and declotting or revision of restored graft function was ineffective.
Abstract: Complications associated with vascular accesses account for approximately 30% of hospital admissions for chronic hemodialysis patients. Long-term patency of access was evaluated in 76 patients, without diabetes mellitus, who had been on dialysis for at least 3 years and 41 patients, with diabetes mellitus, who had been on dialysis for over 2 years. Fistulas functioned longer than grafts (58 vs. 22 months, p

107 citations


Journal ArticleDOI
TL;DR: Reformative operations should be considered in cases of urgency and irresponsiveness to endovascular surgery rather than closing the fistulas directly, as it prolongs the duration of AVF patency.
Abstract: PurposeThis study was designed to determine the clinical presentation, characteristics, and management of aneurysm/pseudoaneurysm formation (APF) in dialysis access fistulas.MethodsThe treatment me...

14 citations