Arteriovenous fistula aneurysm--plicate, not ligate

ABSTRACT

<p><b>INTRODUCTION</b>Arteriovenous fistula (AVF) created for haemodialysis can be complicated by aneurysm formation.</p><p><b>CLINICAL PICTURE</b>Ligation of the fistula is often required to prevent aneurysmal rupture and the life-threatening haemorrhage that ensues. Other methods of treatment involve using foreign bodies like mesh and grafts.</p><p><b>TREATMENT</b>We describe a new method in the treatment of this condition--plication. It involves plicating the excess free wall of the aneurysm with sutures and does not require resection or anastomosis.</p><p><b>OUTCOME</b>Early results show that this method shrinks the aneurysm size and reduces the risk of haemorrhage.</p><p><b>CONCLUSION</b>The AVF can continue to be used and the patient is spared the agony of having to go through the entire cycle of creating a new vascular access site.</p>