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Venous aneurysm complicating arteriovenous fistula access and matrix metalloproteinases

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Serra R., Butrico L., Grande R., Placida G. D., Rubino P., Settimio U. F., Quarto G., Amato M., Furino E., Compagna R., Amato B., Gallelli L., Franciscis S. d.

Open Medicine

2014

vol. 10

issue 1

Introduction: An arteriovenous fistula (AVF) for placed for hemodialysis may be burdened by one particular complication-the formation of a venous aneurysm. It has been shown that matrix metalloproteinases (MMPs) and neutrophil gelatinase-associated lipocalin (NGAL) could represent markers of disease in both venous and arterial vessels. Materials and methods: This case study reports a rare case of enormous venous aneurysm-correlated MMP and NGAL levels in a woman with an AVF. Results: Significantly higher levels of plasma MMP-1, MMP-8, MMP-9, and NGAL were detected in this patient during aneurysmal evaluation before the surgery; these levels significantly decreased 1, 3 and 6 months after surgery. Conclusion: MMP and NGAL levels could represent a marker of aneurysmal disease, and their plasma evaluation could help physicians to stratify the risk of complications in patients with an AVF.

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1 Open Medicine

1 2015

1 Amato B.

1 Amato M.

1 Butrico L.

1 Compagna R.

1 Franciscis S. d.

1 Furino E.

1 Gallelli L.

1 Grande R.

1 Placida G. D.

1 Quarto G.

1 Rubino P.

1 Serra R.

1 Settimio U. F.

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Venous aneurysm complicating arteriovenous fistula access and matrix metalloproteinases