Seroma: An underestimated complication of vascular access for haemodialysis

Dodos, Ilias; Kirmizis, I.; Apostolou, Christos; Sioulis, Athanasios; Mavromatidis, K.; Skandalos, Ioannis

doi:10.1007/s13126-014-0149-2

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Various treatment options are available for management of steal syndrome like ligation of fistula, banding, distal revascularization-interval ligation (DRIL procedure), distal radial artery ligation (DRAL procedure), more proximal arteriovenous anastomosis (PAVA procedure), revision using distal inflow (RUDI procedure), Minimally invasive limited ligation endoluminal-assisted revision (MILLER procedure) [15] . Seroma formation following AVF creation is a rare complication, it is managed by vaccuum drainage/ exploration of wound and drainage of seroma or ligation of fistula [16] . Venous hypertension following AVF creation can be distressing and may necessitate closure of fistula if endovascular procedures fail [17] .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Side to Side vs End to Side Arteriovenous Fistula in upper limb for Hemodialysis

Das¹

2018

jmscr

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Introduction: Various methods of arteriovenous fistula (AVF) creation are in vogue, each having their own pros and cons. This study is aimed at comparing two most common methods of AVF creation -side to side (STS) and end to side (ETS). Materials and Methods: This retrospective comparative study was conducted between January 2017 to January 2018. 57 patients were included in the study-they underwent AVF creation either by STS or by ETS method. Results: All total primary failure rate in the study was 12.28%, there was no statistically significant difference among two groups in regards to demography, operative time or complications except the finding that ETS has significant lower rate of postoperative venous hypertension than STS group. Conclusion: STS AVF has significantly higher rate of venous hypertension than ETS AVF.

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Section: Discussionmentioning

confidence: 99%

Comparison of Side to Side vs End to Side Arteriovenous Fistula in upper limb for Hemodialysis

Das¹

2018

jmscr

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“…Perigraft tissue incorporation is an important biological process for stabilizing an implanted prosthetic vascular graft inside the host body. Poor perigraft tissue incorporation can induce serious complications such as graft infection [1][2][3][4][5] and perigraft seroma [6][7][8][9][10][11][12], in which prosthetic graft is floating in serous fluid exudated from the prosthetic graft wall. Both can result in repeat surgery, bacteremia, limb-loss, or even loss of life.…”

Section: Introductionmentioning

confidence: 99%

A Radiation-Crosslinked Gelatin Hydrogel That Promotes Tissue Incorporation of an Expanded Polytetrafluoroethylene Vascular Graft in Rats

et al. 2021

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A prosthetic vascular graft that induces perigraft tissue incorporation may effectively prevent serious sequelae such as seroma formation and infection. Radiation-crosslinked gelatin hydrogel (RXgel) mimics the chemical and physical properties of the in vivo extracellular matrix and may facilitate wound healing by promoting tissue organization. Fibroblasts cultured on RXgel actively migrated into the gel for up to 7 days. RXgels of three different degrees of hardness (Rx[10], soft; Rx[15], middle; Rx[20], hard) were prepared, and small disc-like samples of RXgels were implanted into rats. In vitro and in vivo results indicated that Rx[10] was too soft to coat vascular grafts. Thus, expanded polytetrafluoroethylene (ePTFE) vascular grafts coated with RXgel were developed using Rx[15] and Rx[20] gels, and ring-shaped slices of the graft were implanted into rats. Alpha-smooth muscle actin (SMA) and type III collagen (Col-III) levels were detected by immunohistochemistry. Immunohistochemical staining for SMA and Col-III demonstrated that RXgel-coated vascular grafts induced more granulation tissue than non-coated grafts on days 14 and 28 after implantation. RXgel-coated ePTFE vascular grafts may provide a solution for patients by reducing poor perigraft tissue incorporation.

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Seroma: An underestimated complication of vascular access for haemodialysis

Cited by 2 publications

References 8 publications

Comparison of Side to Side vs End to Side Arteriovenous Fistula in upper limb for Hemodialysis

Comparison of Side to Side vs End to Side Arteriovenous Fistula in upper limb for Hemodialysis

A Radiation-Crosslinked Gelatin Hydrogel That Promotes Tissue Incorporation of an Expanded Polytetrafluoroethylene Vascular Graft in Rats

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