Download presentation
Presentation is loading. Please wait.
Published byAnton Svensson Modified over 5 years ago
1
Management of true aneurysms of hemodialysis access fistulas
Garri Pasklinsky, MD, Robert J. Meisner, MD, Nicos Labropoulos, PhD, DIC, RVT, Luis Leon, MD, Antonios P. Gasparis, MD, RVT, David Landau, MD, Apostolos K. Tassiopoulos, MD, Peter J. Pappas, MD Journal of Vascular Surgery Volume 53, Issue 5, Pages (May 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions
2
Fig 1 True arteriovenous fistula (AVF) aneurysms from 4 patients who presented with symptoms related to the aneurysms. Journal of Vascular Surgery , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions
3
Fig 2 Ultrasound images of a 3.5 × 3.4 cm arteriovenous fistula (AVF) true aneurysm. The diameter of the unaffected vein segment adjacent to the aneurysm measured 6.8 mm. The aneurysm is free of thrombus with significant wall thickening seen in the posterior wall on the left panel. Typical cephalad and retrograde flow pattern is seen on the right panel. Journal of Vascular Surgery , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions
4
Fig 3 A, Low magnification (×10) of an excised arteriovenous fistula (AVF) true aneurysm utilizing Masson's Trichrome stain showing significant wall thickening with great redundancy as the vein is not pressurized. B, High magnification (×100) demonstrating wall thickening, collagen infiltration with marked derangement of the wall architecture. Journal of Vascular Surgery , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions
5
Fig 4 Sequential photographs depicting the removal of a true arteriovenous fistula (AVF) aneurysm in a patient who presented with worsening hand pain due to steal syndrome. A, AVF aneurysm before resection. B, Longitudinal incision along the aneurysm. C, Exposed aneurysmal vein illustrating the diameter difference with the proximal unaffected segment. D, Excised aneurysmal vein with significant wall thickening. Journal of Vascular Surgery , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.