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  • Title: [Aneurysm as a complication of arteriovenous anastomoses for hemodialysis].
    Author: Bachleda P, Utíkal P, Zadrazil J, Grosmanová T.
    Journal: Rozhl Chir; 1998 Dec; 77(12):541-4. PubMed ID: 10081319.
    Abstract:
    Angioaccess procedures for hemodialysis over a 12-year period were retrospectively reviewed to ascertain the frequency of aneurysm complications. A total of 571 angioaccess procedures were performed including 88 polytetrafluoroethylene grafts. 1.24% autogenous fistulae and 5.7% ePTFE grafts had uncomplicated aneurysm. Complicated (thrombosis, bleeding, infection) aneurysm occurred in 5.2% autogenous fistulae and in 5.7% PTFE grafts. The authors recommend a surgical repair of all angioaccess-associated aneurysms in the time of uncomplicated occurrence. If the aneurysm is complicated, the risk of the function lose of the av shunt by surgical therapy increase.
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