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INDICATION
  • Patients with an aneurysmatic dilatation of the native AV access with hyperfunction
  • Patients with a rapidly expanding aneurysm ( ˃2cm for 6 month)
  • Patients with an aneurysmatic dilatation of the native AV access with complicated cannulation during hemodialysis (prolonged bleeding time after cannula removal, rupture etc.)
  • Patients with an aneurysmatic dilatation of the native AV access with ischemic steal syndrom
  • Patients with an aneurysmatic dilatation of the native AV access with pain overlying the aneurysm 

REFERENCES

Repair of Aneurysmal Arteriovenous Fistulae: A Systematic Review and Meta-analysis. Eur J Vasc Endovasc Surg. Baláž P, Rokošný S, Bafrnec J, Whitley A, O'Neill S. 2020;59(4):614–623. doi:10.1016/j.ejvs.2019.07.033

Contemporary management of arteriovenous hemodialysis fistula aneurysms. Rokosny S, O’Neill S, Balaz P. Cor et Vasa 2018, 60(1):e49-e55, doi:10.1016/j.crvasa.2017.10.005

Cardiac remodeling after reduction of high-flow arteriovenous fistulas in end-stage renal disease. Wohlfahrt P, Rokosny S, Melenovsky V, Borlaug BA, Pecenkova V, Balaz P. Hypertens Res. 2016;39(9):654–659. doi:10.1038/hr.2016.50

True aneurysm in autologous hemodialysis fistulae: definitions, classification and indications for treatment. Balaz P, Björck M. J Vasc Access. 2015;16(6):446–453. doi:10.5301/jva.5000391

Reinforced Aneurysmorrhaphy for True Aneurysmal Haemodialysis Vascular Access.
Rokošný S, Baláž P, Wohlfahrt P, Palouš D, Janoušek L. Eur J Vasc Endovasc Surg. 2014, doi: 10.1016/j.ejvs.2014.01.010

Aneurysmorrhaphy is an easy technique for arteriovenous fistula salvage. Balaz P, Rokosny S, Klein D, Adamec M. J Vasc Access. 2008 Apr-Jun;9(2):81-4.