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Huge Cephalic Vein Aneurysm Post-brachiocephalic Arteriovenous Fistula: Report of a Case and Review of Literature

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Abstract

Aneurysm formation is a known complication of arteriovenous fistula. Urgent intervention is sometimes required in such cases to prevent the life-threatening complication of rupture as well as to provide suitable vascular access for hemodialysis. The available literature on true aneurysm post-arteriovenous fistula is reviewed. Original research articles/case series on venous aneurysms post-AVF published in the last two decades that is after the year 2000 available on PubMed were analyzed. Various techniques for the management of true aneurysms post-arteriovenous fistula creation are discussed along with their advantages and disadvantages. We also share our experience of a patient with chronic kidney disease who developed a huge cephalic vein aneurysm post-brachiocephalic arteriovenous fistula. The patient was managed with aneurysm resection and the creation of a new radiocephalic arteriovenous fistula in the contralateral upper limb using a saphenous vein graft.

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Authors and Affiliations

  1. Department of Surgery, Shri Ram Murti Samarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, 243202, India

    Vikas Deep Goyal & Shobhit Sharma

  2. Department of Anesthesia, Shri Ram Murti Samarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, 243202, India

    Gaurav Misra & Akhilesh Pahare

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  1. Vikas Deep Goyal
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  2. Shobhit Sharma
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Correspondence to Vikas Deep Goyal.

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“It is confirmed that the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. No animal experimentation was done.”

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Goyal, V.D., Sharma, S., Misra, G. et al. Huge Cephalic Vein Aneurysm Post-brachiocephalic Arteriovenous Fistula: Report of a Case and Review of Literature. Indian J Surg 85 (Suppl 1), 228–233 (2023). https://doi.org/10.1007/s12262-022-03604-z

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  • DOI: https://doi.org/10.1007/s12262-022-03604-z

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