Giant pseudoaneurysm of basilic vein complicating arteriovenous fistula
Arteriovenous fistulae are created for haemodialysis in patients with end-stage renal failure. Due to repeated punctures and concomitant heparinization an iatrogenic pseudoaneurysm is not a rare complication of patients having AVF. A case of a 58-year old patient having a pseudoaneurysm related to his sidetoside brachiobasilic AVF at the left antecubital region is reported in this article.
Development of pseudoaneurysm carries a high risk of AVF failure, thrombosis, infection, and hemorrhage. Treatment options include compression under ultrasonographic guidance, thrombin injection, endovascular covered stent implantation and surgical reconstruction.Autologous AV fistulas have been shown to have superior long-term patency, lower incidence of complications and longer patient survival compared to arteriovenous grafts or central venous catheters. Thus, preservation of the arteriovenous fistula is critical to improved survival. Early diagnosis and prompt management of pseudoaneurysms are necessary to avoid AVF failure. [2, 3]
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