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425416

Aneurysmorrhaphy vs Bypass Graft during Arteriovenous Fistula Aneurysm Management in End Stage Renal Disease Patients

Article

Last updated: 04 May 2025

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Tags

Clinical Research (Surgical)

Abstract

Background: Aneurysmal dilatation is considered one of the most common complications that may threaten the function of AVF and even the life of the patient if ruptured. To date, there is no gold standard approach for the management of AVF aneurysms. Objectives: To compare the outcome of aneurysmorrhaphy bypass graft regarding the patency and complication rates. Methods: This uncontrolled comparative clinical trial was conducted at Suez Canal University Hospital. Sixty-four patients were equally and randomly allocated into either Aneurysmorrhaphy or bypass graft group. Hemodialysis adult patients with aneurysmal functioning AVF were included in this study. Patients with upper limb ischemia, thrombosed AVF aneurysm, or hypotension were excluded. Results: The mean age of the studied patients was 39.8± 8.6 years. There was no significant variation either in the flow rate or in preoperative maximum diameter between the two groups. Postoperative maximum diameter was significantly higher among aneurysmorrhaphy (12.9± 3.4 mm) compared to bypass graft (6 mm) one day, one-month, and six-month postoperative with a significant decrease in the diameter of both groups compared to the preoperative diameter. Post-operative edema, hematoma, and thrombosis were higher in group A, while after six months infection and thrombosis were higher in group B. Conclusion: Aneurysmorrhaphy showed higher patency outcomes, post-operative maximum diameter, and thrombosis. While the bypass graft showed a higher incidence of infection

DOI

10.21608/scumj.2024.425416

Keywords

Aneurysmorrhaphy, Hemodialysis, Bypass graft

Authors

First Name

Mohamed

Last Name

Aboelenen

MiddleName

Elsayed

Affiliation

Department of Surgery, Vascular Surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

mohamed.abuelenen@med.suez.edu.eg

City

Portsaid - Egypt

Orcid

-

First Name

Hatem

Last Name

Hussain

MiddleName

-

Affiliation

Department of Surgery, Vascular Surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

dr.hatemhussein@yahoo.com

City

-

Orcid

-

First Name

Mohammed

Last Name

Kamel

MiddleName

M.

Affiliation

Department of Surgery, Vascular Surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

mmk_surgeon@hotmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Elyamany

MiddleName

-

Affiliation

Department of Surgery, Vascular Surgery Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

mohamed_alyamany@med.suez.edu.eg

City

-

Orcid

-

Volume

27

Article Issue

8

Related Issue

52240

Issue Date

2024-08-01

Receive Date

2024-05-01

Publish Date

2024-08-01

Page Start

12

Page End

20

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 27_Issue 8_Pages 12-20.pdf

PDF . 892.1kB

Link

https://scumj.journals.ekb.eg/article_425416.html

Detail API

http://journals.ekb.eg?_action=service&article_code=425416

Order

2

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Aneurysmorrhaphy vs Bypass Graft during Arteriovenous Fistula Aneurysm Management in End Stage Renal Disease Patients

Details

Type

Article

Created At

04 May 2025