[Complex reconstruction of arteriovenous fistula for hemodialysis]. / Slozhnaya rekonstruktsiya arteriovenoznoi fistuly dlya gemodializa.

We report a complex reconstruction of arteriovenous fistula (AVF). Proximal stenosis of cephalic vein was followed by aneurysms of fistulous veins (distal segment of cephalic vein and median cubital vein) complicated by AVF thrombosis. Blood outflow from AVF was retrograde. One week after thrombosis, an aneurysm of median cubital vein containing dense clots was excised. We resected cephalic vein wall and repaired the vessel. Anastomosis with the brachial artery was created distal to the last anastomosis. Proximal cephalic vein repair was performed using resected aneurysm walls. After a year, AVF has been successfully used for hemodialysis.

[Reconstruction of aneurismal arteriovenous fistula after arrosive bleeding]. / Rekonstruktsiya anevrizmaticheski izmenennoi arteriovenoznoi fistuly posle arrozivnogo krovotecheniya. Klinicheskoe nablyudenie.

Aneurysmal transformation of arteriovenous fistula (AVF) is a common complication and associated with increased risk of arrosive bleeding. Ligation of fistulous vein is conventional surgery for bleeding. This is followed by AVF malfunction and need for implantation of central venous catheter. We report reconstructive surgery and maintaining the function of AVF in a patient with aneurysmal transformation of AVF after arrosive bleeding. Reconstructive vascular surgery can significantly extend the period of patent AVF for hemodialysis. This is extremely important in patients with reduced resources of native vessels suitable for AVF formation. The same is true if conversion of the type of renal replacement therapy is associated with significant difficulties.

[Difficulties in diagnosis of dislocated permanent dialysis catheter followed by perforation of right internal jugular and massive hemothorax]. / Trudnosti diagnostiki dislotsirovannogo permanentnogo dializnogo katetera, privedshei k massivnomu gemotoraksu pri perforatsii pravoi vnutrennei iaremnoi veny.

Great vein perforation followed by massive hemothorax occurred after implantation of permanent dialysis catheter. Diagnostic difficulties in this case were caused by placement of catheter's shadow in the projection of right atrium on the frontal X-ray scan. Injury of initial segment of superior vena cava was diagnosed during emergency surgery for ongoing bleeding.

[OPTION OF THE TRANSPLANT URINARY TRACT RECONSTRUCTION WITH RECIPIENT'S OWN URETER IN CASE OF THE RENAL TRANSPLANT PATHOLOGY].

This article describes an extremely rare case of reconstruction of allograft ureteropelvic junction by ureter of contralateral kidney. The authors present a concise literature review of this pathology treatment options.