Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting

Aneurysms and pseudoaneurysm are commonly encountered with arteriovenous vascular access for haemodialysis. They are difficult complications to manage. Due to the limited number of vascular centers available, patients were unable to seek treatment until further complications arise. The technique of...

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Main Authors: Ong, Xin Zen, Ling, Li Fan, Philip Ding Hsin Loong, Chong, Kar Hon, Goh, Neng Xiang, Kang, Jo An, Umasangar Ramasamy
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2023
Online Access:http://journalarticle.ukm.my/21360/
http://journalarticle.ukm.my/21360/1/53880-201715-4-PB.pdf
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author Ong, Xin Zen
Ling, Li Fan
Philip Ding Hsin Loong,
Chong, Kar Hon
Goh, Neng Xiang
Kang, Jo An
Umasangar Ramasamy,
author_facet Ong, Xin Zen
Ling, Li Fan
Philip Ding Hsin Loong,
Chong, Kar Hon
Goh, Neng Xiang
Kang, Jo An
Umasangar Ramasamy,
author_sort Ong, Xin Zen
building UKM Institutional Repository
collection Online Access
description Aneurysms and pseudoaneurysm are commonly encountered with arteriovenous vascular access for haemodialysis. They are difficult complications to manage. Due to the limited number of vascular centers available, patients were unable to seek treatment until further complications arise. The technique of partial aneurysmectomy and primary repair was adopted as the method of repair in this study. A total of 20 cases underwent the surgery from 2019 to 2020. Among the 20 cases, one patient had two pseudoaneurysms at different location which requires her to undergo the procedure twice. The successful cannulation rate post repair was 70% whereas the overall complication rate was 35% which might be attributed to the small sample size. Overall, this study demonstrated that AVF aneurysm and pseudoaneurysm can be safely treated with this approach and can be done effectively in non-vascular centers by general surgeons.
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spelling oai:generic.eprints.org:213602023-03-23T03:25:57Z http://journalarticle.ukm.my/21360/ Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting Ong, Xin Zen Ling, Li Fan Philip Ding Hsin Loong, Chong, Kar Hon Goh, Neng Xiang Kang, Jo An Umasangar Ramasamy, Aneurysms and pseudoaneurysm are commonly encountered with arteriovenous vascular access for haemodialysis. They are difficult complications to manage. Due to the limited number of vascular centers available, patients were unable to seek treatment until further complications arise. The technique of partial aneurysmectomy and primary repair was adopted as the method of repair in this study. A total of 20 cases underwent the surgery from 2019 to 2020. Among the 20 cases, one patient had two pseudoaneurysms at different location which requires her to undergo the procedure twice. The successful cannulation rate post repair was 70% whereas the overall complication rate was 35% which might be attributed to the small sample size. Overall, this study demonstrated that AVF aneurysm and pseudoaneurysm can be safely treated with this approach and can be done effectively in non-vascular centers by general surgeons. Penerbit Universiti Kebangsaan Malaysia 2023-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/21360/1/53880-201715-4-PB.pdf Ong, Xin Zen and Ling, Li Fan and Philip Ding Hsin Loong, and Chong, Kar Hon and Goh, Neng Xiang and Kang, Jo An and Umasangar Ramasamy, (2023) Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting. Jurnal Sains Kesihatan Malaysia, 21 (1). pp. 9-14. ISSN 1675-8161 https://ejournals.ukm.my/jskm/issue/view/1525
spellingShingle Ong, Xin Zen
Ling, Li Fan
Philip Ding Hsin Loong,
Chong, Kar Hon
Goh, Neng Xiang
Kang, Jo An
Umasangar Ramasamy,
Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting
title Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting
title_full Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting
title_fullStr Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting
title_full_unstemmed Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting
title_short Retrospective study of the outcome of primary repair of arteriovenous fistula (AVF) aneurysm and pseudoaneurysm in secondary hospital setting
title_sort retrospective study of the outcome of primary repair of arteriovenous fistula (avf) aneurysm and pseudoaneurysm in secondary hospital setting
url http://journalarticle.ukm.my/21360/
http://journalarticle.ukm.my/21360/
http://journalarticle.ukm.my/21360/1/53880-201715-4-PB.pdf