Objectives: We report a new salvage technique for treating venous aneurysms (VAs) complicating vascular access arteriovenous fistula (AVF) using externally reinforced venous aneurysmorrhaphy.Design: A retrospective study over a 20-month period from a single centre.Patients: Patients presenting to the vascular surgery department, Bordeaux University Hospital for revision of a vascular access AVF were included.Methods: Reinforced venous aneurysmorraphy consisted in removal of redundant vessel wall followed by reinforcement using an external prosthetic graft. Patency, diameter and flow were assessed by duplex ultrasound at 1, 6 and 12 months after salvage.Results: Thirty-eight eligible patients were identified. Five were excluded because VA was associated with central vein stenosis; the remaining 33 underwent salvage. Indications were rapidly expanding or painful VA in seven cases; VA with frequent bleeding or damaged overlying skin in eight; VA in close relation to a stenosis in two; and VA associated with high-flow rate in 16. Cannulation was attempted after 30 days. Mean follow-up time was 12 S.D. 5 months (range: 4-22). Two repaired AVFs failed. Primary 1-year patency was 93%. No aneurysm or infection occurred. Reduction of high flow was successful in 12 of 16 patients. The remaining four required re-operation.Conclusions: Reinforced venous aneurysmorrhaphy is effective in controlling venous dilation and achieving patency. Reduction of high-flow rates was not always achieved. Further study is needed to evaluate long-term efficacy of this treatment. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

Median arcuate ligament syndrome is a rare disorder resulting from luminal narrowing of the celiac trunk. The classic management of median arcuate ligament syndrome involves the surgical division of the median arcuate ligament fibers in order to decompress the celiac trunk. This has traditionally required an upper midline incision. A few authors have described a successful laparoscopic release of celiac artery compression syndrome. Laparoscopy provides a less invasive, but equally effective method for decompressing the celiac trunk.

HaemophiliaVolume 14, Issue 2 p. 383-384 Spontaneous intramural haematoma of the sigmoid colon causing acute intestinal obstruction in a haemophiliac: report of a case J. JARRY, J. JARRY HIA Robert Picqué, route de Toulouse, Villenave d'Ornon, FranceSearch for more papers by this authorD. BISCAY, D. BISCAY Hopital Pellegrin, place Amélie Léon-Rabat, Bordeaux, FranceSearch for more papers by this authorD. LEPRONT, D. LEPRONT HIA Robert Picqué, route de Toulouse, Villenave d'Ornon, FranceSearch for more papers by this authorA. RULLIER, A. RULLIER Hopital Pellegrin, place Amélie Léon-Rabat, Bordeaux, FranceSearch for more papers by this authorD. MIDY, D. MIDY Hopital Pellegrin, place Amélie Léon-Rabat, Bordeaux, FranceSearch for more papers by this author J. JARRY, J. JARRY HIA Robert Picqué, route de Toulouse, Villenave d'Ornon, FranceSearch for more papers by this authorD. BISCAY, D. BISCAY Hopital Pellegrin, place Amélie Léon-Rabat, Bordeaux, FranceSearch for more papers by this authorD. LEPRONT, D. LEPRONT HIA Robert Picqué, route de Toulouse, Villenave d'Ornon, FranceSearch for more papers by this authorA. RULLIER, A. RULLIER Hopital Pellegrin, place Amélie Léon-Rabat, Bordeaux, FranceSearch for more papers by this authorD. MIDY, D. MIDY Hopital Pellegrin, place Amélie Léon-Rabat, Bordeaux, FranceSearch for more papers by this author First published: 31 December 2007 https://doi.org/10.1111/j.1365-2516.2007.01627.xCitations: 8 Julien Jarry, Hopital militaire Robert Picque 351, route de Toulouse 33140 Villenave d’Ornon.Tel.: (+33) 0664352995; fax: (+33) 0556847316;e-mail: julienjarry@hotmail.com Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume14, Issue2March 2008Pages 383-384 RelatedInformation