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The Use of Pedicular Arteriovenous Fistula (PAVF) in Microvascular Reconstruction to Enhance Flow Across the Microvascular Anastomoses.
Microsurgery
November 2024
The Buncke Clinic, San Francisco, California, USA.
Article Synopsis
- Free flap success rates have improved over the years, but complications like thrombosis remain high in burn and trauma cases, leading to the exploration of a new method using a pedicular arteriovenous fistula (PAVF) to enhance blood flow during reconstruction.
- A study involving 13 patients showed promising results with only one case of venous thrombosis and no arterial thrombosis, indicating that this approach may reduce complications.
- The method appears effective without causing issues like flap ischemia or venous congestion, suggesting that enhancing blood flow could be a better alternative to traditional anticoagulation methods in preventing thrombosis.*
Surgical treatment of a rare brachial artery aneurysm post-arteriovenous fistula closure after kidney transplant: A case report.
World J Clin Cases
July 2024
Department of General Surgery, Ankara University School of Medicine, Ankara 06100, Türkiye.
Article Synopsis
- Brachial artery aneurysms are rare dilations of the artery that can be true or pseudoaneurysms, with the case report focusing on a true aneurysm and its surgical repair.
- A 61-year-old male experienced swelling and pain in his right arm for six months, leading to the diagnosis of a true brachial artery aneurysm linked to an arteriovenous fistula, which was surgically repaired using a graft from his saphenous vein.
- There is limited literature on managing true brachial artery aneurysms, and while surgery is the main treatment, endovascular repair may also be a viable option.
To evaluate the complication and patency rate of superficial femoral vein transposition in tertiary care center.
Vascular
June 2024
Vascular Surgery Department, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Introduction: When all access options in the upper extremity have been exhausted, an autologous access can be created in lower extremity. The purpose of this study is to report our experience with superficial femoral vein transposition (SFVT) results in terms of postoperative complication and patency rate.
Materials And Methods: In the time period from January 1, 2019 to April 30, 2021, thirty-five cases of SFVT performed at our large tertiary care center Sindh Institute of Urology and Transplantation (SIUT).
Ureteroureterostomy With Near-Infrared Ray Catheter in a Kidney Transplant.
Cureus
April 2024
Department of Urology, Yamagata University Faculty of Medicine, Yamagata, JPN.
Transplant ureteral stenosis (US) is a complication of kidney transplantation (KT) that sometimes adversely affects kidney function. Endoscopic treatment may be selected as the initial treatment; however, the recurrence rate is high. Ureteral reconstruction is necessary as a secondary treatment, but it is often difficult to identify the transplanted ureter due to reoperation; therefore, transplanted ureter and renal arteriovenous injury are intraoperative complications that should be noted.
View Article and Find Full Text PDFBrachial artery aneurysm after hemodialysis fistula ligation: Case reports and review of literature.
Int J Surg Case Rep
February 2024
Vascular Surgery Unit - AOUP Policlinico 'P. Giaccone', Palermo, Italy.
Introduction: Brachial artery aneurysm (BAA) following long-standing arteriovenous fistula (AVF) ligation after renal transplantation is odd.
Case Presentation: Two cases of brachial artery aneurysm treated with bypass (a saphenous vein graft and a PTFE graft). In the first patient no complications were recorded whereas an infection was diagnosed after 6 months from the procedure in the second treatment.
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