True aneurysm in autologous hemodialysis fistulae: definitions, classification and indications for treatment
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, přehledy
PubMed
26044900
DOI
10.5301/jva.5000391
PII: 65B53C37-938B-42FA-A877-B5F7F8412A31
Knihovny.cz E-zdroje
- MeSH
- aneurysma klasifikace diagnóza etiologie patofyziologie terapie MeSH
- arteriovenózní zkrat škodlivé účinky MeSH
- chronické selhání ledvin diagnóza terapie MeSH
- dialýza ledvin * MeSH
- dilatace patologická MeSH
- hemodynamika MeSH
- lidé MeSH
- nepravé aneurysma klasifikace diagnóza etiologie patofyziologie terapie MeSH
- okluze cévního štěpu etiologie terapie MeSH
- prediktivní hodnota testů MeSH
- regionální krevní průtok MeSH
- reoperace MeSH
- rizikové faktory MeSH
- trombóza etiologie terapie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
INTRODUCTION: Definition, etiology, classification and indication for treatment of the arteriovenous access (AVA) aneurysm are poorly described in medical literature. The objectives of the paper are to complete this information gap according to the extensive review of the literature. METHODS: A literature search was performed of the articles published between April 1, 1967, and March 1, 2014. The databases searched included Medline and the Cochrane Database of Systematic Reviews. The eligibility criteria in this review studies the need to assess the association of aneurysms and pseudoaneurysms with autologous AVA. Aneurysms and pseudoaneurysms involving prosthetic AVA were not included in this literature review. From a total of 327 papers, 54 non-English papers, 40 case reports and 167 papers which did not meet the eligibility criteria were removed. The remaining 66 papers were reviewed. RESULTS: Based on the literature the indication for the treatment of an AVA aneurysm is its clinical presentation related to the patient's discomfort, bleeding prevention and inadequate access flow. A new classification system of AVA aneurysm, which divides it into the four types, was also suggested. CONCLUSIONS: AVA aneurysm is characterized by an enlargement of all three vessel layers with a diameter of more than 18 mm and can be presented in four types according to the presence of stenosis and/or thrombosis. The management of an AVA aneurysm depends on several factors including skin condition, clinical symptoms, ease of cannulation and access flow. The diameter of the AVA aneurysm as a solo parameter is not an indication for the treatment.
Department of Surgical Sciences Vascular Surgery Uppsala University Uppsala Sweden
Department of Transplantation Renal Unit Guy's Hospital London UK
Citace poskytuje Crossref.org
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