True aneurysm in autologous hemodialysis fistulae: definitions, classification and indications for treatment
Language English Country United States Media print-electronic
Document type Journal Article, Review
PubMed
26044900
DOI
10.5301/jva.5000391
PII: 65B53C37-938B-42FA-A877-B5F7F8412A31
Knihovny.cz E-resources
- MeSH
- Aneurysm classification diagnosis etiology physiopathology therapy MeSH
- Arteriovenous Shunt, Surgical adverse effects MeSH
- Kidney Failure, Chronic diagnosis therapy MeSH
- Renal Dialysis * MeSH
- Dilatation, Pathologic MeSH
- Hemodynamics MeSH
- Humans MeSH
- Aneurysm, False classification diagnosis etiology physiopathology therapy MeSH
- Graft Occlusion, Vascular etiology therapy MeSH
- Predictive Value of Tests MeSH
- Regional Blood Flow MeSH
- Reoperation MeSH
- Risk Factors MeSH
- Thrombosis etiology therapy MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review 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
References provided by Crossref.org
Cardiac remodeling after reduction of high-flow arteriovenous fistulas in end-stage renal disease
