Abstract

End-stage renal disease (ESRD) or chronic kidney disease (stage V), is the disease where the kidneys lose their ability to filter waste and excess fluid from the body. It’s a huge burden to health sector in India with more than 230 per million population of ESRD patients. To ensure haemodialysis treatment for these patients creation of AVF in upper limb is the access of choice. But these AVF accesses are not free from complications, about one third of these patients develop complications which represent a significant cause of hospitalization in patients of end stage renal disease on haemodialysis. About 36 to 39% of admission in these patients is related to dialysis access. In our case aneurysm developed very early contrary to very delayed development of aneurysm. Of the many ways to deal with the aneurysm we preferred to ligate the aneurysm and take down the fistula because it had already ruptured.

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