Liposuction used to treat deep vascular accesses for hemodialysis.

The Journal of Vascular Access
Marius C FlorescuDebra A Reilly

Abstract

Oftentimes, obese dialysis patients develop a viable dialysis access but the access is too deep for cannulation and needs a superficialization procedure. We present our 14-patient cohort in whom we performed liposuction to superficialize viable but deep vascular accesses. Out of 14 patients, 12 had arteriovenous fistulas and 2 arteriovenous grafts. The primary end points were the ability to superficialize a completely unusable access and to remove the hemodialysis catheter (3patients), or to significantly extend the useful length of a deep access in which only a very short segment was used and to continue to use the access post-surgery without the need to place a dialysis catheter (11 patients). The study goal was met in 13 out of 14 patients. In two of three patients, the catheters were removed and their access usable length was 14 and 13 cm, respectively. The accesses could be used immediately after liposuction in all patients in which this applied-11 patients. The usable access length increased from a mean of 5 to 12.7 cm. The access mean depth decreased from 10.8 mm pre-surgery to 7 mm post-surgery and 5.3 mm 4 weeks after surgery. The mean volume of fat removed was 43.8 cc. We had only one surgical complication: bleeding t...Continue Reading

References

Apr 7, 2006·Journal of the American Society of Nephrology : JASN·Holly J KramerRichard Cooper
Feb 2, 2010·The Journal of Vascular Access·Daniela A OchoaWilliam C Jennings
Jul 6, 2010·Journal of Vascular Surgery·Marlin Wayne CauseyNiten Singh
Dec 15, 2010·American Journal of Surgery·Kayla J BarnardWilliam C Jennings
Mar 2, 2011·The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique·Daniel J KrochmalAnthony A Smith
May 9, 2014·The Journal of Vascular Access·Eric D LadenheimSanah Parvez
Oct 11, 2015·Journal of the American College of Surgeons·C Miles MaliskaAlexandros Mallios
Jul 20, 2018·VASA. Zeitschrift für Gefässkrankheiten·Gabor Cs NagyMatthias Wunsch

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