Outcome of Bypass Graft in Arteriovenous Fistula Aneurysm Repair in End Stage Renal Disease Patients | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 22 March 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.349646.3778 | ||
| Authors | ||
| Mohammed Mostafa Kamel* 1; hatem hussein1; Mohamed Abuelenen1; Mohammed Mostafa Elyamany2 | ||
| 1Vascular Surgery Department, Faculty of Medicine, Suez Canal University Teaching Hospitals, Ismailia, Egypt | ||
| 2Vascular Surgery Department, Faculty of Medicine, Suez Canal University Teaching Hospitals, Ismailia, Egypt. | ||
| Abstract | ||
| Because native arteriovenous fistulas (AVF) have lower risks of infection and thrombosis than other choices, they are the recommended permanent vascular access technique for patients with end-stage renal failure. This work's objective was to enhance AVF aneurysm management in HD patients presenting to Suez Canal University Hospital regarding the outcomes, cost and the time. Methods: This prospective interventional research was conducted on 24 patients with aneurysmal functioning AVF who were over the age of 18, of both sexes, receiving haemodialysis (HD) for end-stage renal disease (ESRD). All patients received intravenous antibiotics before skin incision. In order to limit incoming artery flow, the upstream AVF anastomosis was first dissected if the aneurysm was close to the anastomosis. Results: The mean of post operative Max diameter (1 day) was 6± 0, post op Max diameter (1 month) was 6± 0 and Post op Max diameter (6 months) was 6± 0. post-operative, 3(12.5%) patients had thrombosis, and 2(8.3%) patients had infection, while six-months post-operative, 3(12.5%) patients had thrombosis, and 1(4.1%) patient had infection. | ||
| Keywords | ||
| Bypass Graft; AV Fistula; pseudoaneurysm | ||
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