Outcome of Bypass Graft in Arteriovenous Fistula Aneurysm Repair in End Stage Renal Disease Patients

Kamel, Mohammed Mostafa; Hussein, Hatem; Abuelenen, Mohamed; Elyamany, Mohammed Mostafa

doi:10.21608/zumj.2025.349646.3778

Outcome of Bypass Graft in Arteriovenous Fistula Aneurysm Repair in End Stage Renal Disease Patients

Document Type : Original Article

Authors

¹ Vascular Surgery Department, Faculty of Medicine, Suez Canal University Teaching Hospitals, Ismailia, Egypt

² Vascular Surgery Department, Faculty of Medicine, Suez Canal University Teaching Hospitals, Ismailia, Egypt.

10.21608/zumj.2025.349646.3778

Abstract

Because native arteriovenous fistulas (AVF) have lower risks of infection and thrombosis than other choices, they are the recommended permanent vascular access technique for patients with end-stage renal failure. This work's objective was to enhance AVF aneurysm management in HD patients presenting to Suez Canal University Hospital regarding the outcomes, cost and the time.

Methods: This prospective interventional research was conducted on 24 patients with aneurysmal functioning AVF who were over the age of 18, of both sexes, receiving haemodialysis (HD) for end-stage renal disease (ESRD). All patients received intravenous antibiotics before skin incision. In order to limit incoming artery flow, the upstream AVF anastomosis was first dissected if the aneurysm was close to the anastomosis.

Results: The mean of post operative Max diameter (1 day) was 6± 0, post op Max diameter (1 month) was 6± 0 and Post op Max diameter (6 months) was 6± 0. post-operative, 3(12.5%) patients had thrombosis, and 2(8.3%) patients had infection, while six-months post-operative, 3(12.5%) patients had thrombosis, and 1(4.1%) patient had infection.

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