European Journal of Vascular & Endovascular Surgery
Volume 40, Issue 1 , Pages 100-106 , July 2010

Salvage Treatment for Venous Aneurysm Complicating Vascular Access Arteriovenous Fistula: Use of an Exoprosthesis to Reinforce the Vein after Aneurysmorrhaphy

  • X. Berard

      Affiliations

    • Department of Vascular Surgery, Bordeaux University Hospital, Bordeaux, France
    • CIC-IT Inserm 802, Bordeaux, France
    • Corresponding Author InformationCorresponding author. Service de Chirurgie Vasculaire, Hôpital Pellegrin, CHU Bordeaux, Place Amélie Raba Léon, 33000 Bordeaux, France. Tel.: +33 (0) 556795524; fax: +33 (0) 556796105.
    • ,
  • V. Brizzi

      Affiliations

    • Department of Vascular Surgery, Bordeaux University Hospital, Bordeaux, France
    • ,
  • S. Mayeux

      Affiliations

    • Department of Vascular Surgery, Bordeaux University Hospital, Bordeaux, France
    • ,
  • G. Sassoust

      Affiliations

    • Department of Vascular Surgery, Bordeaux University Hospital, Bordeaux, France
    • ,
  • D. Biscay

      Affiliations

    • Polyclinique Bordeaux Nord, Bordeaux, France
    • ,
  • E. Ducasse

      Affiliations

    • Department of Vascular Surgery, Bordeaux University Hospital, Bordeaux, France
    • ,
  • L. Bordenave

      Affiliations

    • CIC-IT Inserm 802, Bordeaux, France
    • ,
  • J.M. Corpataux

      Affiliations

    • Department of Vascular Surgery, Lausanne University Hospital, Lausanne, Switzerland
    • ,
  • D. Midy

      Affiliations

    • Department of Vascular Surgery, Bordeaux University Hospital, Bordeaux, France

Received 28 August 2009 ,Accepted 10 January 2010.

  • Image Result

    Dissection of the aneurysmal arterialised vein using staged skin incisions.

    Dissection of the aneurysmal arterialised vein using staged skin incisions.

  • Image Result

    Aneurysmorrhaphy (arrow) and resection of venous aneurysms after calibration of the lumen with the cannula.

    Aneurysmorrhaphy (arrow) and resection of venous aneurysms after calibration of the lumen with the cannula.

  • Image Result

    Polyester mesh wrapping around the vein; bulldog clamp to control venous outflow.

    Polyester mesh wrapping around the vein; bulldog clamp to control venous outflow.

  • Image Result

    The wrapped vein is tunnelized under healthy skin and reanastomosed.

    The wrapped vein is tunnelized under healthy skin and reanastomosed.

  • Image Result

    Kaplan–Meier curve showing assisted primary patency.

    Kaplan–Meier curve showing assisted primary patency.

PII: S1078-5884(10)00057-2

doi: 10.1016/j.ejvs.2010.01.021

European Journal of Vascular & Endovascular Surgery
Volume 40, Issue 1 , Pages 100-106 , July 2010

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