{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:07:02Z","timestamp":1790636822786,"version":"4.1.0"},"reference-count":36,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T00:00:00Z","timestamp":1687996800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The escalating population of individuals afflicted with end-stage renal disease necessitates the provision of secure and efficacious vascular access for hemodialysis, with arteriovenous fistulas representing a preferred option. Nonetheless, the creation of dialysis fistulas may entail complications, including the occurrence of fistula aneurysms that may require surgical intervention. This study included eight patients with large aneurysms of dialysis fistulas and aimed to evaluate the safety and effectiveness of classic, endovascular, or hybrid methods for fistula reconstruction or ligation, depending on the indications. Vascular interventions were performed on patients on chronic hemodialysis and on those in whom hemodialysis was discontinued due to the proper functioning of the transplanted kidney. Performed procedures were considered safe and effective. The reconstructed fistulas provided the patients with patent vascular access, allowing for continued hemodialysis. No re-aneurysmal dilatation of the reconstructed or ligated fistulas was observed. Regular monitoring of dialysis fistulas is crucial to detect complications in time. Guidelines should be established to specify the dimensions at which fistula aneurysm should be excised and whether to remove asymptomatic aneurysms at all. For patients who have undergone kidney transplantation, outlines should indicate when the fistula should be preserved and when it should be ligated.<\/jats:p>","DOI":"10.3390\/ijerph20136256","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T01:14:12Z","timestamp":1688087652000},"page":"6256","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Surgical Management, Prevention and Outcomes for Aneurysms of Arteriovenous Dialysis Fistulas: A Case Series Study and Review"],"prefix":"10.3390","volume":"20","author":[{"given":"Adam","family":"P\u0142o\u0144ski","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery and Transplantation, Medical University of Bialystok, 15-276 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4528-9608","authenticated-orcid":false,"given":"Adam Filip","family":"P\u0142o\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery and Transplantation, Medical University of Bialystok, 15-276 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0058-8081","authenticated-orcid":false,"given":"Jerzy","family":"G\u0142owi\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery and Transplantation, Medical University of Bialystok, 15-276 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"510","DOI":"10.29271\/jcpsp.2022.04.510","article-title":"Patency and Complications of Arterio-Venous Fistula Created in Pre- and Post-dialysis Settings","volume":"32","author":"Azeem","year":"2022","journal-title":"J. Coll. Physicians Surg. Pak."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Barac, S., Rata, A., Popescu, A., Onofrei, R., and Chiriac, S. (2022). True Brachial Artery Aneurysm in Patients with Previous Arterio-Venous Fistula Ligation and Immunosuppressant Therapy for Renal Transplantation: Case Report and Literature Review. Healthcare, 10.","DOI":"10.3390\/healthcare10030470"},{"key":"ref_3","first-page":"4","article-title":"Statistics for 2022","volume":"1","author":"Czerwinski","year":"2023","journal-title":"Poltransplant"},{"key":"ref_4","first-page":"87","article-title":"Current status of renal replacement therapy in Poland\u20132021","volume":"25","author":"Rutkowski","year":"2021","journal-title":"Nefrol. Dial. Pol."},{"key":"ref_5","first-page":"63","article-title":"Compressive False Aneurysm of The Brachial Artery in a Hemodialysis Patient: Always Superficialize The Basilic Vein of The Arm","volume":"18","author":"Zahdi","year":"2022","journal-title":"Nephrol. Ther."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1177\/1129729820983178","article-title":"A Systematic Review of The Brachial Vein Arteriovenous Fistulas as a Viable Option for Haemodialysis Access","volume":"22","author":"Gavriilidis","year":"2021","journal-title":"J. Vasc. Access"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1177\/0003319713484790","article-title":"Basilic Vein Transposition in The Forearm For Secondary Arteriovenous Fistula","volume":"65","author":"Glowinski","year":"2014","journal-title":"Angiology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e32715","DOI":"10.1097\/MD.0000000000032715","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","year":"2023","journal-title":"Medicine"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.avsg.2022.09.035","article-title":"Revision of Aneurysmal Arteriovenous Access with Immediate Use Graft Is Safe and Avoids Prolonged Use of Tunneled Hemodialysis Catheters","volume":"87","author":"Naazie","year":"2022","journal-title":"Ann. Vasc. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1053\/j.ajkd.2019.12.001","article-title":"National Kidney Foundation. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update","volume":"75","author":"Lok","year":"2020","journal-title":"Am. J. Kidney Dis."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Bojakowski, K., Gziut, A., Gora, R., Foroncewicz, B., Kazmierczak, S., Kasprzak, D., Malyszko, J., and Andziak, P. (2021). To Close, Observe, or Reconstruct: The Third Way of Managing Dialysis Fistula Aneurysms in Kidney Transplant Recipients. J. Clin. Med., 10.","DOI":"10.3390\/jcm10194567"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1016\/j.avsg.2015.04.059","article-title":"Impact of duplex ultrasound surveillance program on patency of prosthetic arteriovenous graft for hemodialysis: A single-center experience","volume":"29","author":"Mauro","year":"2015","journal-title":"Ann. Vasc. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"255","DOI":"10.5301\/JVA.2010.3705","article-title":"Hemodialysis vascular access ultrasonography: Tips, tricks, pitfalls and a quiz","volume":"11","author":"Malik","year":"2010","journal-title":"J. Vasc. Access"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1111\/1744-9987.13630","article-title":"Midterm Results of Salvage Surgery for Autogenous Dialysis Access in Aneurysmal Arteriovenous Fistulas","volume":"25","author":"Ecevit","year":"2021","journal-title":"Ther. Apher. Dial."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/15385744221131209","article-title":"A Hyperdynamic Arteriovenous Fistula Aneurysm After Long Time Renal Transplantation","volume":"57","author":"Klusch","year":"2023","journal-title":"Vasc. Endovasc. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e28072","DOI":"10.1097\/MD.0000000000028072","article-title":"Surgical Management of a Giant Venous Aneurysm in an Autogenous Arteriovenous Fistula With The Vessel Loop Shoelace Technique For Wound Closure: A Case Report","volume":"100","author":"Yoo","year":"2021","journal-title":"Medicine"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1177\/11297298211018062","article-title":"Ultrasound Evaluation of Access Complications: Thrombosis, Aneurysms, Aseudoaneurysms and Infections","volume":"22","author":"Meola","year":"2021","journal-title":"J. Vasc. Access"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1177\/1129729820968425","article-title":"Mega Fistulae! A Case Series","volume":"22","author":"Gardezi","year":"2021","journal-title":"J. Vasc. Access"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.avsg.2016.08.046","article-title":"Characteristics, Management, and Outcomes of Surgically Treated Arteriovenous Fistula Aneurysm in Patients on Regular Hemodialysis","volume":"41","author":"Asim","year":"2017","journal-title":"Ann. Vasc. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.ejvs.2019.07.033","article-title":"Repair of Aneurysmal Arteriovenous Fistulae: A Systematic Review and Meta-analysis","volume":"59","author":"Bafrnec","year":"2020","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Prabhakaran, M., Mahapatra, H.S., Nath, R.K., Pursnani, L., Balakrishnan, M., Singh, A., Singh, A., Patil, S., and Gautam, A. (2023). Comparison of clinical examination, doppler and fistulogram for arterio-venous fistula surveillance in detecting secondary failure. J. Vasc. Access.","DOI":"10.1177\/11297298231161461"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.avsg.2022.04.012","article-title":"The Fate of Hemodialysis Vascular Access after Kidney Transplantation: Why Ligation Should Not Be Systematically Performed?","volume":"86","author":"Borghese","year":"2022","journal-title":"Ann. Vasc. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.avsg.2021.01.097","article-title":"The Role of Immunosuppressive Therapy in Aneurysmal Degeneration of Hemodialysis Fistulas in Renal Transplant Patients","volume":"74","author":"Viscardi","year":"2021","journal-title":"Ann. Vasc. Surg."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.jvs.2022.10.054","article-title":"Arteriovenous fistula aneurysmorrhaphy is associated with improved patency and decreased vascular access abandonment","volume":"77","author":"Chang","year":"2023","journal-title":"J. Vasc. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.avsg.2018.01.073","article-title":"Technique to Avoid Hemodialysis Catheter in Patients with Failing Aneurysmal Arteriovenous Fistula by Creating a Concomitant New Arteriovenous Fistula","volume":"49","author":"Lara","year":"2018","journal-title":"Ann. Vasc. Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1130618","DOI":"10.3389\/fcvm.2023.1130618","article-title":"Heart failure with preserved ejection fraction is the most frequent but commonly overlooked phenotype in patients on chronic hemodialysis","volume":"10","author":"Malik","year":"2023","journal-title":"Front. Cardiovasc. Med."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Huang, X.M., Yu, F., Wang, Y., Gu, L.Q., Xu, L., Fu, H.L., Zhang, Y., Li, J.J., and Sun, X.F. (2023). Effect of proximal artery restriction on flow reduction and cardiac function in hemodialysis patients with high-flow arteriovenous fistulas. J. Vasc. Surg., in press.","DOI":"10.1016\/j.jvs.2023.04.017"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1177\/1129729820970786","article-title":"To ligate or not to ligate hemodialysis arteriovenous fistulas in kidney transplant patients","volume":"22","author":"Abreo","year":"2021","journal-title":"J. Vasc. Access"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Kaller, R., Mure\u0219an, A., Arb\u0103na\u0219i, E., Arb\u0103na\u0219i, E., Kov\u00e1cs, I., Horv\u00e1th, E., Suciu, B., Hosu, I., and Russu, E. (2022). Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure. Life, 12.","DOI":"10.3390\/life12040529"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/j.1525-139X.2011.00990.x","article-title":"Partial aneurysmectomy is effective in managing aneurysm-associated complications of arteriovenous fistulae for hemodialysis: Case series and literature review","volume":"25","author":"Almehmi","year":"2012","journal-title":"Semin. Dial."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1016\/j.jvs.2009.10.122","article-title":"Midterm results of a novel technique to salvage autogenous dialysis access in aneurysmal arteriovenous fistulas","volume":"51","author":"Woo","year":"2010","journal-title":"J. Vasc. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1177\/17085381211068996","article-title":"Surgical removal of a foreshortened right innominate vein Wallstent causing venous outflow obstruction","volume":"31","author":"Schafer","year":"2023","journal-title":"Vascular"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1016\/j.ultrasmedbio.2023.04.007","article-title":"Detection of Abnormal Wall Shear Stress and Oscillatory Shear Index via Ultrasound Vector Flow Imaging as Possible Indicators for Arteriovenous Fistula Stenosis in Hemodialysis","volume":"49","author":"Ding","year":"2023","journal-title":"Ultrasound Med. Biol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1177\/1538574420976723","article-title":"Aneurysm Excision With Arteriovenous Anastomosis Proximalization for Dialysis Fistula Aneurysm Treatment","volume":"55","author":"Gora","year":"2021","journal-title":"Vasc. Endovasc. Surg."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Hejna, E., Chang, J., Terranella, S., Trawczynski, M., Hollinger, E., Jensik, S., Olaitan, O., Hertl, M., and Chan, E. (J. Vasc. Access, 2022). End-to-end Anastomosis as a Superior Repair Type to Prevent Recurrence of Arteriovenous Fistula Aneurysms and Improve Patency Outcomes, J. Vasc. Access, epub ahead of print.","DOI":"10.1177\/11297298221125609"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.amjsurg.2022.04.009","article-title":"Graft Repair of Arteriovenous Fistula Aneurysms is Associated With Decreased Long-term Patency","volume":"224","author":"Chang","year":"2022","journal-title":"Am. J. Surg."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/13\/6256\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:04:00Z","timestamp":1760126640000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/13\/6256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,29]]},"references-count":36,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["ijerph20136256"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20136256","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,29]]}}}