Endovascular repair of hemodialysis graft-related pseudoaneurysm: An alternative treatment strategy in salvaging failing dialysis access

Neal R. Barshes, Suman Annambhotla, Carlos Bechara, Panagiotis Kougias, Tam T. Huynh, Alan Dardik, Michael Silva, Peter H. Lin

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Introduction: Hemodialysis access-related pseudoaneurysm is a known complication in patients requiring hemodialysis via prosthetic arteriovenous grafts (AVGs). The traditional treatment strategy of AVG-related pseudoaneurysms is either AVG ligation or interposition replacement with another prosthetic graft segment or autogenous veins. Patients and methods: From June 2002 to August 2007, 32 self-expanding stent grafts were implanted in 26 patients with AVG pseudoaneurysms. Indications for treatment consisted of large AVG pseudoaneurysm size, localized pain at pseudoaneurysm site, enlarging pseudoaneurysm, and skin site breakdown. AVG pseudoaneurysm exclusion was accomplished with Wallgrafts, Viabahn endoprosthesis, and Fluency endograft. Technical success was achieved in all patients. Nineteen patients experienced a marked decrease in the size of their pseudoaneurysm following endograft exclusion. Successful hemodialysis was resumed through endograft-excluded AVG in all patients within 48 hours. Conclusions: Endoluminal exclusion of AVG pseudoaneurysms using endografts is a safe and effective treatment strategy in patients with hemodialysis-related pseudoaneurysm.

Original languageEnglish (US)
Pages (from-to)228-234
Number of pages7
JournalVascular and Endovascular Surgery
Volume42
Issue number3
DOIs
StatePublished - Jun 2008

Fingerprint

False Aneurysm
Renal Dialysis
Dialysis
Transplants
Therapeutics
Stents
Ligation
Veins
Pain
Skin

Keywords

  • Arteriovenous grafts
  • Endograft exclusion
  • Endovascular repair
  • Hemodialysis
  • Hemodialysis complication pseudoaneurysm
  • Stent graft repair

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Endovascular repair of hemodialysis graft-related pseudoaneurysm : An alternative treatment strategy in salvaging failing dialysis access. / Barshes, Neal R.; Annambhotla, Suman; Bechara, Carlos; Kougias, Panagiotis; Huynh, Tam T.; Dardik, Alan; Silva, Michael; Lin, Peter H.

In: Vascular and Endovascular Surgery, Vol. 42, No. 3, 06.2008, p. 228-234.

Research output: Contribution to journalArticle

Barshes, Neal R. ; Annambhotla, Suman ; Bechara, Carlos ; Kougias, Panagiotis ; Huynh, Tam T. ; Dardik, Alan ; Silva, Michael ; Lin, Peter H. / Endovascular repair of hemodialysis graft-related pseudoaneurysm : An alternative treatment strategy in salvaging failing dialysis access. In: Vascular and Endovascular Surgery. 2008 ; Vol. 42, No. 3. pp. 228-234.
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