Serdar BADEM, Kenan VAROL, Murat UĞURLUCAN

Hemodiyaliz Hastalarında Arteriyovenöz Fistül Komplikasyonu: PTFE Sentetik Greft Yalancı Anevrizma Tamirinde İki Farklı Cerrahi Girişim

Kronik böbrek yetmezliği olan hastalarda hemodiyaliz uygulaması hasta için hayat kurtarıcı olup, damar erişim yolu tüm hastaların konforlu hayat kalitesini anlamlı ölçüde etkiler. Son dönem böbrek yetmezliği hastalarında arteriyovenöz fistül kullanımı ne kadar uzun olursa, karşılaşılacak komplikasyonların çeşitliliği de o kadar fazla olmaktadır. Her ne kadar ilk planda otolog damar greftleri kullanılsa da, günümüzde son çare olarak sentetik greftli hasta sayısı da gittikçe artmaktadır. Son dönem böbrek yetmezliği için yapılan arteriyovenöz fistül operasyonlarının geç dönem komplikasyonları ile hemen hemen tüm hemodiyaliz hastaları karşılaşmaktadır. Bu makalede sentetik greft üzerinde tekrarlayan ponksiyonlara bağlı iki farklı lokalizasyonda oluşan yalancı anevrizma tamirinde iki farklı cerrahi tedavi tekniği anlatılmaktadır.

ARTERIOVENOUS FISTULA COMPLICATION IN HEMODIALYSIS PATIENTS: TWO DIFFERENT SURGICAL INTERVENTIONS FOR THE TREATMENT OF PTFE SYNTHETIC GRAFT PSEUDOANEURYSM

Hemodialysis is life saving for patients with chronic renal failure, and vascular access significantly affects quality of life of individuals. As the duration of the use of arteriovenous fistula increases, the variety of complications also rises. Although autologous vascular grafts are used in the first order, recently, as a last option, the number of patients with synthetic grafts has increased. Nearly all the patients with chronic renal failure experience late term complications of arteriovenous fistula operations for hemodialysis. In this report we present two different surgical treatment techniques for the treatment of pseudoaneurysms at two different localizations which occurred secondary to multiple punctures.

Keywords:

Chronic renal failure, hemodialysis arteriovenous fistula, synthetic graft, pseudoaneurysm,

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