“…Rupture is rare and less frequent than the compressive symptomatology of aneurysm on adjacent structures, such as the median nerve. 4 Several mechanisms have been described that cause a significant increase in arterial diameter after the creation of an AVF. The hyperdynamic flow in the arterial territory proximal to an AVF damages the elastic fibres in the internal lamina creating a predisposition to aneurysmal degeneration.…”