Treatment for venous aneurysm: A salvage technique of AVF with an early cannulation prosthetic graft

Aim: A Venous aneurysm (VA) is one of the complications of arteriovenous fistulas (AVF) and may lead to rupture and potentially fatal bleeding. VA formation in AVF is mostly seen in the upper arm. Material and Methods: Between January 2018 and December 2018, a total of 12 VA patients underwent surgery to end-to-end anastomosis using a vascular graft. Results: Eight of the patients (66%) were males, and the mean age was 43.1 years (range 25-69 years). All of the fistulas were in the upper arm; two were basilic transpositions, and 10 were brachiocephalic AVF. Mean VA diameter was 4,7 cm (range 3-7 cm). All patients cannulated successfully within 24-48 hours from the newly placed AV access. Conclusions: The procedure we described in this series is a successful and effective method for the treatment of VA in AFV. Postoperatively, most of the patients discharged early, and the VA site could be used for HD in 24-48 hours