Lupine Publishers - Journal of Surgery

Specific Cases of Urgent Vascular Surgery and Peculiar Characteristics of Bypass Operations by Drozdova EV in Surgery & Case Studies Open Access Journal in Lupinepublishers

Until March 2018 the work with grafts for the hemodialysis had not posed any complications. Prosthetic devices were removed in connection with urgent suppurate processes or routinely, both when thrombosed grafts existed as a heterogeneous body and when they could prevent carrying out other arterio-venous fistulas. But during only one month – April 2018 there were diagnosed three cases of pulsating hematomas from arterio-venous grafts in the shoulders. In all these cases patients needed surgery. I, myself, performed 2 operations. In one case the patient was hospitalized to another clinic. In the first event the artery and anastomosis with a. braсhialis had a long linear rupture on the back side of the artery. The artery and graft were singled out in both directions from the zone of anastomosis and were taken on the holders. They were clamped but the bleeding did not stop. The situation was complicated by the anamnesis of the patient: there were numerous thromboses of vessels, diabetes type I, polyfactor thrombophilia; so we could not rely on the tourniquet for a long time, moreover the ejection fraction was reduced significantly, and if we had to clamp the artery for any long period then there could be only one way out - the amputation.

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