Reinforced aneurysmorrhaphy for true aneurysmal haemodialysis vascular access
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F14%3AN0000035" target="_blank" >RIV/00064173:_____/14:N0000035 - isvavai.cz</a>
Alternative codes found
RIV/00064190:_____/14:#0000748 RIV/00159816:_____/14:00060947 RIV/00216208:11110/14:10290831 RIV/00216208:11120/14:43908425 and 2 more
Result on the web
<a href="http://dx.doi.org/10.1016/j.ejvs.2014.01.010" target="_blank" >http://dx.doi.org/10.1016/j.ejvs.2014.01.010</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.ejvs.2014.01.010" target="_blank" >10.1016/j.ejvs.2014.01.010</a>
Alternative languages
Result language
angličtina
Original language name
Reinforced aneurysmorrhaphy for true aneurysmal haemodialysis vascular access
Original language description
Objective: In 2008, a new technique of reinforced aneurysmorrhaphy with a polyester mesh tube for salvaging true aneurysmal arteriovenous (AV) haemodialysis access was described by us. In this study, the long-term patency and complication rates associated with this procedure were analysed, and the effect of reinforced aneurysmorrhaphy on high-flow vascular access was assessed. Methods: This was a retrospective non-randomised study with prospectively collected data performed at a single centre. Patients with true aneurysmal haemodialysis AV access who underwent aneurysmorrhaphy with external mesh prosthesis between March 2007 and October 2012 were included. Clinical assessment and duplex ultrasound were performed preoperatively, 1, 3, and 12 months postoperatively, and annually thereafter. Results: Data from 62 patients (median age 60 years, range 28-81 years; 63% men) were analysed. The commonest indication was high-flow vascular access associated with the risk of high output cardiac failure (24 patients, 39%). The mean follow-up time was 14.66 +/- 12.80 months. Primary patency rates at 6 and 12 months were 86% and 79% respectively. Assisted primary patency rates at 6 and 12 months were 89% and 80% respectively. In 23 patients (96%) operated on for high-flow vascular access, decreased vascular access flow was observed after the procedure. The average flow reduction after aneurysmorrhaphy was 2,197 mL/minute. Postoperative bleeding and infection necessitating surgical revision occurred in three (4.8%) and three (4.8%) patients respectively. Conclusions: Reinforced aneurysmorrhaphy with an external mesh prosthesis is an effective method for treating true aneurysmal haemodialysis AV access, with excellent long-term patency and minimal complications due to infection.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
<a href="/en/project/ED1.100%2F02%2F0123" target="_blank" >ED1.100/02/0123: St. Anne´s University Hospital Brno - International Clinical Research Center (FNUSA-ICRC)</a><br>
Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2014
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
European Journal of Vascular & Endovascular Surgery
ISSN
1078-5884
e-ISSN
1532-2165
Volume of the periodical
47
Issue of the periodical within the volume
4
Country of publishing house
GB - UNITED KINGDOM
Number of pages
7
Pages from-to
444-450
UT code for WoS article
000333855900018
EID of the result in the Scopus database
2-s2.0-84896093670