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http://dx.doi.org/10.4103/0971-4065.175979 | DOI Listing |
Ann Vasc Surg
March 2022
Department of Surgery, George Washington University Hospital, Washington, DC.
Background: Mega-fistulae are generalized aneurysmal dilations of a high flow (1500-4000 mL/min) autogenous arteriovenous (AV) access which may result in hemorrhage and/or high-output cardiac failure. Current treatments include ligation, ligation with prosthetic jump graft, and imbrication; however, these may not be suitable for advanced disease, or may result in loss of functioning access, poor cosmesis, or recurrence. We describe our early experience with a technique of complete mega-fistula resection and replacement with an early use prosthetic graft that both maintains existing AV access and eliminates the need for long-term catheter (LTC) placement; including lessons learned.
View Article and Find Full Text PDFJ Vasc Access
November 2021
Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
A mega fistula can be defined as generalized aneurysmal dilatation of arteriovenous fistula. Mega fistulae can lead to complications like high output cardiac failure, steal syndrome, skin ulceration and rupture. We describe a series of ten patients who were referred to our interventional nephrology practice for evaluation of mega fistula which had not been in use for a long time.
View Article and Find Full Text PDFIndian J Nephrol
September 2016
Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.
Eur J Pediatr Surg
December 2009
Department of Pediatric Surgery, Department of Surgery, Tanta University Hospital, Tanta, Egypt.
Introduction: The most significant complication after hypospadias repair is urethrocutaneous fistula. Repair is even more difficult if the fistula is large. Use of the tubularized incised plate (TIP) procedure for hypospadias repair has greatly increased.
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