open access

Vol 12, No 5 (2017)
Case Reports
Published online: 2017-11-22
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Endovascular closure of ruptured aneurysm of reverse saphenous vein graft in a repaired arterio-venous fistula: technical considerations

Santosh Kumar Sinha, Anupam Mahrotra, Mahmadula Razi, Puneet Aggarwal, Pradyot Tiwari, Vinay Krishna
DOI: 10.5603/FC.2017.0088
·
Folia Cardiologica 2017;12(5):470-473.

open access

Vol 12, No 5 (2017)
Case Reports
Published online: 2017-11-22

Abstract

A 49-year-old diabetic woman who had end stage renal disease associated with membranous glomerulonephritis, was undergoing dialysis through a left brachiocephalic arteriovenous fistula. After sometime, fistula became infected and stopped functioning. It was closed and arterial segment was resected and repaired with reverse saphenous vein graft. After 6 months interval, she presented with painful, expansile swelling with intermittent bleeding. Arteriogram showed ruptured aneurysm of reverse saphenous vein graft with a proximal venous stenosis. It was successfully closed with 6 × 60 mm Fluency Plus self-expanding vascular stent graft (Bard, Tempe, AZ) with resolution of her symptoms.

Abstract

A 49-year-old diabetic woman who had end stage renal disease associated with membranous glomerulonephritis, was undergoing dialysis through a left brachiocephalic arteriovenous fistula. After sometime, fistula became infected and stopped functioning. It was closed and arterial segment was resected and repaired with reverse saphenous vein graft. After 6 months interval, she presented with painful, expansile swelling with intermittent bleeding. Arteriogram showed ruptured aneurysm of reverse saphenous vein graft with a proximal venous stenosis. It was successfully closed with 6 × 60 mm Fluency Plus self-expanding vascular stent graft (Bard, Tempe, AZ) with resolution of her symptoms.
Get Citation

Keywords

arterio-venous fistula, brachial artery, endovascular closure, reverse saphenous vein graft, ruptured aneurysm

About this article
Title

Endovascular closure of ruptured aneurysm of reverse saphenous vein graft in a repaired arterio-venous fistula: technical considerations

Journal

Folia Cardiologica

Issue

Vol 12, No 5 (2017)

Pages

470-473

Published online

2017-11-22

DOI

10.5603/FC.2017.0088

Bibliographic record

Folia Cardiologica 2017;12(5):470-473.

Keywords

arterio-venous fistula
brachial artery
endovascular closure
reverse saphenous vein graft
ruptured aneurysm

Authors

Santosh Kumar Sinha
Anupam Mahrotra
Mahmadula Razi
Puneet Aggarwal
Pradyot Tiwari
Vinay Krishna

References (7)
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  2. Pierce GE, Thomas JH, Fenton JR. Novel repair of venous aneurysms secondary to arteriovenous dialysis fistulae. Vasc Endovascular Surg. 2007; 41(1): 55–60.
  3. Lo HY, Tan SG. Arteriovenous fistula aneurysm--plicate, not ligate. Ann Acad Med Singapore. 2007; 36(10): 851–853.
  4. Rajput A, Rajan DK, Simons ME, et al. Venous aneurysms in autogenous hemodialysis fistulas: is there an association with venous outflow stenosis. J Vasc Access. 2013; 14(2): 126–130.
  5. Keeling AN, Naughton PA, McGrath FP, et al. Successful endovascular treatment of a hemodialysis graft pseudoaneurysm by covered stent and direct percutaneous thrombin injection. Semin Dial. 2008; 21(6): 553–556.
  6. Mantha ML, Baer R, Bailey GS, et al. Endovascular repair of a hemodialysis fistula aneurysm with covered stents. Kidney Int. 2009; 76(8): 918.
  7. Allaria PM, Costantini E, Lucatello A, et al. Aneurysm of arteriovenous fistula in uremic patients: is endograft a viable therapeutic approach? J Vasc Access. 2002; 3(2): 85–88.

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