{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:12:10Z","timestamp":1777936330342,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T00:00:00Z","timestamp":1751760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Aneurysmal degeneration of autogenous arteriovenous fistulas represents an increasingly prevalent complication in long-term dialysis patients, often leading to access failure and significant morbidity. Despite the clinical relevance, consensus on optimal surgical management remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We present a 10-year single-center experience with a modified stapling technique for AVF aneurysmoplasty, aimed at preserving native access while enabling immediate post-operative cannulation. This retrospective analysis includes 184 patients undergoing reconstruction for AVF aneurysms between 2014 and 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Technical success was achieved in 95.7% of cases, with early cannulation feasible in 91.6% of patients. The early failure rate was 2.3%. Primary patency at 1, 3, 5, and 10\u2009years was 91.3%, 87.8%, 80.8%, and 22.6%, respectively; cumulative functional patency was 94%, 91.1%, 83.6%, and 30.5%. Recurrence was observed in 15.2% of cases, strongly associated with high-flow AVFs and central venous stenosis. Targeted intraoperative flow improved outcomes in anatomically complex cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Stapled aneurysmoplasty is a safe and durable option for AVF reconstruction, with high success and patency rates. Preoperative flow assessment and individualized hemodynamic correction are crucial to long-term outcomes. In cases of recurrence, conversion to graft-based access may be warranted. These findings support a native access\u2013preserving approach in suitable patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251349471","type":"journal-article","created":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T07:46:18Z","timestamp":1751787978000},"page":"766-775","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preservation of vascular access in aneurysmal native fistulas: Ten years of stapled aneurysmoplasty"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4193-1923","authenticated-orcid":false,"given":"Marco","family":"Franchin","sequence":"first","affiliation":[{"name":"Vascular Surgery, University of Insubria, Asst-settelaghi Universitary Teaching Hospital, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Villa","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Insubria, Asst-settelaghi Universitary Teaching Hospital, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Ros","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Insubria, Asst-settelaghi Universitary Teaching Hospital, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Biancalana","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Insubria, Asst-settelaghi Universitary Teaching Hospital, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Cristina","family":"Cervarolo","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Insubria, Asst-settelaghi Universitary Teaching Hospital, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Mauri","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Insubria, Asst-settelaghi Universitary Teaching Hospital, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Piffaretti","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Insubria, Asst-settelaghi Universitary Teaching Hospital, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Tozzi","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Insubria, Asst-settelaghi Universitary Teaching Hospital, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,6]]},"reference":[{"issue":"1","key":"e_1_3_2_2_2","first-page":"26","article-title":"Optimizing the life of vascular access during follow-up","volume":"66","author":"Veneziano A","year":"2025","unstructured":"Veneziano A, Franchin M, Cervarolo MC, et al. Optimizing the life of vascular access during follow-up. J Cardiovasc Surg (Torino) 2025; 66(1): 26\u201329.","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20136256"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000828"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.012"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.07.033"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2017.08.015"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1541-0420.2010.01493.x"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574414561229"},{"issue":"2","key":"e_1_3_2_11_2","first-page":"1058","article-title":"Outcomes of arteriovenous fistula reconstruction in vascular access dysfunction","volume":"11","author":"Kahraman N","year":"2019","unstructured":"Kahraman N, Demir D. Outcomes of arteriovenous fistula reconstruction in vascular access dysfunction. Am J Transl Res 2019; 11(2): 1058\u20131065.","journal-title":"Am J Transl Res"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13239-017-0307-0"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211018062"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000111"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.29271\/jcpsp.2022.04.510"},{"key":"e_1_3_2_16_2","article-title":"Treatment of arteriovenous fistula with aneurysm using the forearm branch of the cephalic vein as a candidate vessel: a case report","volume":"102","author":"Wang B","year":"2023","unstructured":"Wang B, Hu Y. Treatment of arteriovenous fistula with aneurysm using the forearm branch of the cephalic vein as a candidate vessel: a case report. Medicine 2023; 102: e32715.","journal-title":"Medicine"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2016.08.046"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231151715"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298251349471","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298251349471","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298251349471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:27:02Z","timestamp":1777692422000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298251349471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,6]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/11297298251349471"],"URL":"https:\/\/doi.org\/10.1177\/11297298251349471","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,6]]}}}