Journal of Vascular and Endovascular Therapy

Emergency Hybrid Repair of an Infected Pseudo-aneurysm of an Axillary Dialysis Necklace Graft

Excision of infected synthetic haemodialysis grafts with arterial repair can be extremely challenging due to friable vessels. We present a case of an infected pseudo-aneurysm of a synthetic necklace dialysis graft, where surgical repair of the axillary artery was attempted but not technically feasible. Emergency endovascular covered stenting was performed and the patient has now been free of complications for 4 years. Placing covered stents at infected sites remains controversial but we support endovascular treatment as a viable alternative in the emergency management of infected pseudo-aneurysms related to synthetic grafts and report long term good results in this case.

Author(s):

Smith G, Dunne J, Singh N, Fowler O, Wilkinson D, Mercer K and Bhasin N

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