{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T23:33:07Z","timestamp":1780356787756,"version":"3.54.1"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T00:00:00Z","timestamp":1647820800000},"content-version":"vor","delay-in-days":324,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,5,15]],"date-time":"2021-05-15T00:00:00Z","timestamp":1621036800000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>\n          Background\n        <\/jats:p><jats:p>We report the efficacy of a dual-plane approach using a Dufourmentel skin flap with a purse-string suture of the de-epithelized dermis to manage pseudoaneurysm at the vascular access site for hemodialysis.<\/jats:p><jats:p>\n          Methods\n        <\/jats:p><jats:p>A retrospective analysis was conducted of 61 patients from 2013 to 2018 with pseudoaneurysms at the arteriovenous fistula or graft who were treated with rhomboid excision, vessel repair with a purse-string suture, and a full-thickness Dufourmentel skin flap. The success rate was defined as the probability of complete wound closure and intact vascular access patency without infection or other complications.<\/jats:p><jats:p>\n          Results The success rate was 93.4% at 6 months postoperatively. Complications included newly occurring pseudoaneurysms (n=2), wound dehiscence (n=1) and bleeding (n=1). There were no complications such as stenosis or thrombosis from the procedure.<\/jats:p><jats:p>\n          Conclusions A dual-plane approach using a Dufourmentel skin flap with a purse-string suture for vessel repair was shown to be a favorable option for managing stable, small (diameter &lt;2 cm) pseudoaneurysms without infection, rapid expansion, or patency issues of the vascular access.<\/jats:p>","DOI":"10.5999\/aps.2020.02068","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T02:16:35Z","timestamp":1621476995000},"page":"287-292","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A dual-plane approach for surgical treatment of pseudoaneurysm with arteriovenous fistula in hemodialysis patients"],"prefix":"10.1055","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5782-8958","authenticated-orcid":false,"given":"Ji Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4919-5171","authenticated-orcid":false,"given":"Min Sung","family":"Tak","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0581-0566","authenticated-orcid":false,"given":"Jin Seok","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8710-451X","authenticated-orcid":false,"given":"Chul","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,21]]},"reference":[{"key":"ref1","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":"H Al-Thani","year":"2017","journal-title":"Ann Vasc Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.2214\/ajr.180.4.1801067","article-title":"Technical innovation: using a covered stent (Wallgraft) to treat pseudoaneurysms of dialysis grafts and fistulas","volume":"180","author":"JM Ryan","year":"2003","journal-title":"AJR Am J Roentgenol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"851","DOI":"10.47102\/annals-acadmedsg.V36N10p851","article-title":"Arteriovenous fistula aneurysm: plicate, not ligate","volume":"36","author":"HY Lo","year":"2007","journal-title":"Ann Acad Med Singap"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"370","DOI":"10.5301\/jva.5000224","article-title":"Autologous surgical reconstruction for true venous hemodialysis access aneurysms: techniques and results","volume":"15","author":"F Sigala","year":"2014","journal-title":"J Vasc Access"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1177\/147323000403200215","article-title":"Surgical management of giant aneurysms complicating arteriovenous fistulae","volume":"32","author":"O Karabay","year":"2004","journal-title":"J Int Med 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pseudoaneurysms","volume":"55","author":"AS Shah","year":"2012","journal-title":"J Vasc Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1016\/j.jvs.2008.01.051","article-title":"Surgical revision of complicated false and true vascular access-related aneurysms","volume":"47","author":"GS Georgiadis","year":"2008","journal-title":">J Vasc Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1007\/s002700010091","article-title":"Thrombin injection for treatment of brachial artery pseudoaneurysm at the site of a hemodialysis fistula: report of two patients","volume":"23","author":"TW Clark","year":"2000","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref12","first-page":"569","article-title":"Our experiences in the surgical treatment of venous aneurysms appearing as secondary to the upper extremity arteriovenous fistula on patients with chronic renal failure","volume":"30","author":"S Ozcan","year":"2014","journal-title":"Acta Medica Mediterranea"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.jvs.2013.10.083","article-title":"Partial aneurysmectomy for salvage of autogenous arteriovenous fistula with complicated venous aneurysms","volume":"59","author":"A Hossny","year":"2014","journal-title":"J Vasc Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5301\/jva.5000297","article-title":"Donor artery aneurysm formation following the ligation of haemodialysis arteriovenous fistula: a systematic review and case reports","volume":"16","author":"A Kordzadeh","year":"2015","journal-title":"J Vasc Access"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"55","DOI":"10.5301\/jva.5000001","article-title":"Experience with ulcerated, bleeding autologous dialysis fistulas","volume":"13","author":"GJ Jaffers","year":"2012","journal-title":"J Vasc Access"}],"container-title":["Archives of Plastic 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