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DOI: 10.1055/s-0029-1222451
Treatment of Hemodialysis Graft Pseudoaneurysms with Stent Grafts: Institutional Experience and Review of the Literature
Publication History
Publication Date:
29 June 2009 (online)
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ABSTRACT
Hemodialysis access grafts are an important component of the treatment of patients with renal failure. Because access sites are limited, maximizing graft lifespan is of major importance to dialysis patients. Pseudoaneurysm formation is a rare, but important complication potentially limiting the longevity of dialysis grafts. With rapidly advancing technology, placement of stent grafts in patients with end-stage renal disease is an important step in prolonging the life of the graft. We conducted a review of the literature regarding stent-graft use for hemodialysis access. In addition, we looked at our experience utilizing the Viabahn® (W. L. Gore & Associates, Newark, DE) stent graft in pseudoaneurysm repair. Our patients achieved primary patency of their grafts for 1, 5, and 9 months, respectively. No complications related to stent-graft implementation have been encountered in six stent-graft implants over the course of 29 months.
KEYWORDS
Arteriovenous grafts - hemodialysis pseudoaneurysm - stent graft repair
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Angelo P MalamisM.D.
Assistant Professor, Department of Radiology
2160 S. 1st Avenue, Maywood, IL 60153
Email: amalamis@lumc.edu