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2010 | 82 | 3 | 123-129
Tytuł artykułu

Operative Treatment of Septic Hemorrhage Due to Dialysis Arterio-Venous Fistula

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The number of hemodialyzed patients in western countries is growing consistently. Septic complications of vascular access obtained with artificial prostheses are a significant therapeutic problem. Septic bleeding from infected arterio-venous fistula is a life-threatening condition.The aim of the study was to evaluate the results of treatment for septic bleeding from arterio-venous fistula. Data was gathered at the General, Vascular Department at Central Clinical Hospital Ministry of Internal Affairs.Material and methods. Between January 12004 and December 31, 2008, we noticed septic bleeding caused by infectious complications of dialysis fistula in 6 of 348 patients who underwent operation for arterio-venous fistula.Results. All of the patients with septic bleeding had arm fistula due to the employment of vascular prostheses. Successful dialysis fistula reconstruction was performed in 5 of 6 patients. Reconstruction of the brachial artery was carried out in the sixth patient. In all cases, we used segments of autogenous saphenous vein as reconstructive material. Patients with septic bleeding were significantly more likely to have undergone a vascular access operation or fistula reconstruction, in comparison to the group of non-septic patients.Conclusions. The highest risk of septic bleeding as a result of dialysis fistula infection is observed in patients with fistulas preformed with vascular prosthetic grafts. Patients operated due to septic bleeding have the possibility to maintain existing vascular access for dialysis. Our results indicate that the best material for infected dialysis fistula reconstruction is autogenous saphenous vein.
Wydawca
Rocznik
Tom
82
Numer
3
Strony
123-129
Opis fizyczny
Daty
wydano
2010-03-01
online
2010-09-15
Twórcy
Bibliografia
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  • Ceppa EP, Sileshi B, Beasley GM, Lawson JH: Surgical excision of infected arteriovenous grafts: technique and review. J Vasc Access 2009; 10: 148-52.[PubMed]
  • Shutte W, Helmer S, Salazar B et al.: Surgical treatment of infected prosthetic dialysis arteriovenous grafts: total versus partial graft excision. Am J Surg 2007; 193: 385-88.[Crossref]
  • Walz P, Ladowski JS: Partial excision of infected fistula results in increased patency at the cost of increased risk of recurrent infection. Ann Vasc Surg 2005; 19: 84-89.[PubMed][Crossref]
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-010-0017-x
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