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Aneurysms and pseudoaneurysms in dialysis access

Aneurysms are a common and often difficult complication seen with arteriovenous vascular access for haemodialysis. The purpose of this narrative review is to define and describe the scale of the problem and suggested therapeutic strategies. A narrative review of the published literature illustrated...

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Autores principales: Mudoni, Anna, Cornacchiari, Marina, Gallieni, Maurizio, Guastoni, Carlo, McGrogan, Damian, Logias, Francesco, Ferramosca, Emiliana, Mereghetti, Marco, Inston, Nicholas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515897/
https://www.ncbi.nlm.nih.gov/pubmed/26251700
http://dx.doi.org/10.1093/ckj/sfv042
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author Mudoni, Anna
Cornacchiari, Marina
Gallieni, Maurizio
Guastoni, Carlo
McGrogan, Damian
Logias, Francesco
Ferramosca, Emiliana
Mereghetti, Marco
Inston, Nicholas
author_facet Mudoni, Anna
Cornacchiari, Marina
Gallieni, Maurizio
Guastoni, Carlo
McGrogan, Damian
Logias, Francesco
Ferramosca, Emiliana
Mereghetti, Marco
Inston, Nicholas
author_sort Mudoni, Anna
collection PubMed
description Aneurysms are a common and often difficult complication seen with arteriovenous vascular access for haemodialysis. The purpose of this narrative review is to define and describe the scale of the problem and suggested therapeutic strategies. A narrative review of the published literature illustrated by individual cases is presented with the aim of summarising the relevant literature. The definitions of aneurysm are inconsistent throughout the literature and therefore systematic review is impossible. They vary from qualitative descriptions to quantitative definitions using absolute size, relative size and also size plus characteristics. The incidence and aetiology are also ill defined but separation into true aneurysms and false, or pseudoaneurysms may be helpful in planning treatment, which may be conservative, surgical or radiological. The lack of useful definitions and classification along with the multitude of management strategies proposed make firm evidence based conclusions difficult to draw. Further robust well designed studies are required to define best practice for this common problem.
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spelling pubmed-45158972015-08-06 Aneurysms and pseudoaneurysms in dialysis access Mudoni, Anna Cornacchiari, Marina Gallieni, Maurizio Guastoni, Carlo McGrogan, Damian Logias, Francesco Ferramosca, Emiliana Mereghetti, Marco Inston, Nicholas Clin Kidney J Contents Aneurysms are a common and often difficult complication seen with arteriovenous vascular access for haemodialysis. The purpose of this narrative review is to define and describe the scale of the problem and suggested therapeutic strategies. A narrative review of the published literature illustrated by individual cases is presented with the aim of summarising the relevant literature. The definitions of aneurysm are inconsistent throughout the literature and therefore systematic review is impossible. They vary from qualitative descriptions to quantitative definitions using absolute size, relative size and also size plus characteristics. The incidence and aetiology are also ill defined but separation into true aneurysms and false, or pseudoaneurysms may be helpful in planning treatment, which may be conservative, surgical or radiological. The lack of useful definitions and classification along with the multitude of management strategies proposed make firm evidence based conclusions difficult to draw. Further robust well designed studies are required to define best practice for this common problem. Oxford University Press 2015-08 2015-06-10 /pmc/articles/PMC4515897/ /pubmed/26251700 http://dx.doi.org/10.1093/ckj/sfv042 Text en © The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Contents
Mudoni, Anna
Cornacchiari, Marina
Gallieni, Maurizio
Guastoni, Carlo
McGrogan, Damian
Logias, Francesco
Ferramosca, Emiliana
Mereghetti, Marco
Inston, Nicholas
Aneurysms and pseudoaneurysms in dialysis access
title Aneurysms and pseudoaneurysms in dialysis access
title_full Aneurysms and pseudoaneurysms in dialysis access
title_fullStr Aneurysms and pseudoaneurysms in dialysis access
title_full_unstemmed Aneurysms and pseudoaneurysms in dialysis access
title_short Aneurysms and pseudoaneurysms in dialysis access
title_sort aneurysms and pseudoaneurysms in dialysis access
topic Contents
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515897/
https://www.ncbi.nlm.nih.gov/pubmed/26251700
http://dx.doi.org/10.1093/ckj/sfv042
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