Abstract
Pseudoaneurysm is a rare complication of arteriovenous-grafts (AVGs) used in hemodialysis patients. Rupture and bleeding are the most common complications. In this case report, I present the case of a successful repair of an infected pseudoaneurysm that occurred at the AVG, its surgical ligation and the insertion of a new graft segment.
Highlights
Improvements in hemodialysis techniques have led to an extended life expectancy such that the number of patients with end-stage renal disease is increasing[1]
It is recognised that autologous arteriovenous fistulas (AVF) lead to better long-term results when compared to other possible vascular accesses, including polytetrafluoroethylene (PTFE) grafts[4,5,6]
Upon the exhaustion of all autologous AVF possibilities, a PTFE prosthetic graft becomes an alternative necessity in order to bridge arteries and veins
Summary
Improvements in hemodialysis techniques have led to an extended life expectancy such that the number of patients with end-stage renal disease is increasing[1]. Complications regarding vascular access are the main causes of hospitalization in dialysis patients[2,3]. It is recognised that autologous arteriovenous fistulas (AVF) lead to better long-term results when compared to other possible vascular accesses, including polytetrafluoroethylene (PTFE) grafts[4,5,6]. Presentation of the case A 78-year-old Caucasian Greek man presented with a well defined round region of 2–3 cm diameter, with discoloration, swelling and pain in the arteriovenous graft anastomosis in his left upper extremity. He had been on hemodialysis for 6 years as a result of end-stage renal disease. The patient continued hemodialysis sessions after this for three years without any complications
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