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Related Experiment Video

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Aneurysms and pseudoaneurysms in dialysis access.

Anna Mudoni1, Marina Cornacchiari2, Maurizio Gallieni3

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Summary

Aneurysms in arteriovenous vascular access for hemodialysis are common but poorly defined. Inconsistent definitions and classifications hinder evidence-based treatment strategies for these vascular access complications.

Keywords:
arteriovenous fistulaarteriovenous grafthaemodialysisthrombosisultrasonography

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Radiology

Background:

  • Arteriovenous vascular access is crucial for hemodialysis.
  • Aneurysms are a frequent complication of this access.
  • Current understanding and management of aneurysms are suboptimal.

Purpose of the Study:

  • To define the scope of aneurysm complications in hemodialysis vascular access.
  • To review existing therapeutic strategies.
  • To highlight the need for standardized definitions and further research.

Main Methods:

  • A narrative review of published literature.
  • Inclusion of illustrative individual cases.
  • Analysis of definitions, incidence, etiology, and treatment options.

Main Results:

  • Definitions of aneurysms are inconsistent across studies.
  • Incidence and etiology are not well-established.
  • Treatment approaches include conservative, surgical, and radiological methods, lacking standardization.

Conclusions:

  • Lack of standardized definitions and classifications impedes evidence-based conclusions.
  • Further well-designed studies are necessary to establish best practices for managing aneurysms in vascular access.
  • Improved classification and robust research are critical for optimal patient care.