ENDOVASCULAR THERAPY OF PERIPHERAL ANEURYSMS: ELECTIVE AND URGENT TREATMENT 

The Journal of Cardiovascular Surgery 2015 August;56(4):599-605

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Endovascular treatment of true and false aneurysms in hemodialysis access

Hedin U. ¹, Engström J. ², Roy J. ¹ ✉

¹ Department of Vascular Surgery, Karolinska University Hospital, the Karolinska Institute, Stockholm, Sweden; ² Department of Radiology, Karolinska University Hospital, the Karolinska Institute, Stockholm, Sweden

Formation of true and false aneurysms in vascular access for hemodialysis is a complication associated with an immediate or chronic threat to the patient, which jeopardizes access function for further dialysis. Although open surgical repair remains the established treatment of choice, during the last decade, endovascular procedures, largely utilizing stent grafts, have emerged as a viable option for treatment in emergencies as well as for elective cases. Here, basic concepts in vascular access aneurysm management are recapitulated and strategies for endovascular treatment of these complications discussed.