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Aneurysmal degeneration of the donor artery after vascular access

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Presentation on theme: "Aneurysmal degeneration of the donor artery after vascular access"— Presentation transcript:

1 Aneurysmal degeneration of the donor artery after vascular access
Jean Marzelle, MD, Valbon Gashi, MD, Hong-Duyen Nguyen, MD, Albert Mouton, MD, Jean-Pierre Becquemin, MD, Pierre Bourquelot, MD  Journal of Vascular Surgery  Volume 55, Issue 4, Pages (April 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Patient 6 (from left to right): Brachial artery aneurysm on preoperative magnetic resonance imaging imaging; intraoperative view; contained rupture seen after opening of the resected specimen; polytetrafluoroethylene bypass from the brachial artery to the forearm arteries. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Preoperative view in patient 5 of a large brachial aneurysm. B, Angiogram of patient 4 (courtesy of Dr Turmel-Rodrigues); from left to right: (a) arteriomegaly of the left subclavian artery; (b) aneurysmal degeneration of the entire brachial artery; (c) distal brachial artery at the elbow; origin of the ulnar artery (arrowhead) is above the joint; opacification of the basilic vein (arrow); (d) occlusion of radial artery; patent ulnar artery (arrowhead); flow in the arteriovenous fistula comes from side branches of the interosseous artery (arrow). C, Postoperative magnetic resonance angiography (arrows from up to down): proximal anastomosis of basilic vein interposition bypass; reimplantation of ulnar artery; distal anatomosis of bypass to the interosseous artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions


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