A modified stapling technique for the repair of an aneurysmal autogenous arteriovenous fistula Matteo Tozzi, MD, Marco Franchin, MD, Giuseppe Ietto,

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A modified stapling technique for the repair of an aneurysmal autogenous arteriovenous fistula Matteo Tozzi, MD, Marco Franchin, MD, Giuseppe Ietto, MD, Gabriele Soldini, MD, Corrado Chiappa, MD, Giulio Carcano, MD, Patrizio Castelli, MD, Gabriele Piffaretti, MD, PhD Journal of Vascular Surgery Volume 60, Issue 4, Pages 1019-1023 (October 2014) DOI: 10.1016/j.jvs.2014.04.012 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig Intraoperative findings and technical aspects. Multiple aneurysms (*) and interposed stenoses (long arrows) following the arterial inflow (I) are seen (A) externally and (B) internally after a lateral skin incision. C, Aneurysm remodeling with the stapler. D, Note the intense circumferential intimal hyperplasia of the stenotic segment. E, End-to-end anastomosis (dotted ring) is shown between the two edges of the excised aneurysmatic segment. F, The final aspect of the tubulization is shown, with the rectilinear staple line (short arrows) and the end-to-end anastomosis (dotted ring). Journal of Vascular Surgery 2014 60, 1019-1023DOI: (10.1016/j.jvs.2014.04.012) Copyright © 2014 Society for Vascular Surgery Terms and Conditions