Long-term results of femoral vein transposition for autogenous arteriovenous hemodialysis access

Journal of Vascular Surgery
Pierre BourquelotGilbert Franco

Abstract

When all access options in the upper limbs have been exhausted, an autogenous access in lower limb is a valuable alternative to arteriovenous grafts. We report our experience of transposition of the femoral vein (tFV). From June 1984 to June 2011, 70 patients underwent 72 tFV in two centers (Paris and Meknès) with the same technique. All patients had exhausted upper arm veins or had central vein obstructions. Patients were followed by serial duplex scanning. All complications were recorded and statistical analysis of patency was performed according to intention to treat using the life-table method. The mean interval between initiation of dialysis and creation of the tFV was 10 years. The sex ratio was even (one female/one male). Mean age was 48 years (range, 1-84 years), and there were no postoperative infections. Duplex measurements in 33 patients indicated high-flow: mean = 1529 ± 429 mL/min; range, 700-3000 mL/min. Two immediate failures were observed and four patients were lost to follow-up soon after the access creation. Ten patients (14%) experienced minor complications (hematoma, five; lymphocele, one; delayed wound healing, two; distal edema, two) and 30 patients (42%) experienced mild complications (femoral vein and ou...Continue Reading

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Citations

Aug 27, 2013·Journal of Vascular Surgery·Faris AlomranMyriam Combes
Sep 29, 2015·Clinical Kidney Journal·Julien Al ShakarchiNicholas Inston
May 29, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Vishal B ParekhTushar J Vachharajani
Aug 23, 2016·Gefässchirurgie : Zeitschrift für vaskuläre und endovaskuläre Chirurgie : Organ der Deutschen und der Österreichischen Gesellschaft für Gefässchirurgie unter Mitarbeit der Schweizerischen Gesellschaft für Gefässchirurgie·A Neufang, S Savvidis
Oct 7, 2016·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Carlos A HinojosaAdriana Torres-Machorro
Mar 9, 2017·Canadian Journal of Kidney Health and Disease·Jennifer M MacRaeUNKNOWN Canadian Society of Nephrology Vascular Access Work Group
Mar 20, 2018·The Journal of Vascular Access·Miltos K LazaridesGeorge S Georgiadis
May 13, 2014·The Journal of Vascular Access·Teun Wilmink
Mar 10, 2015·The Journal of Vascular Access·Pierre BourquelotNicola Pirozzi
Jul 27, 2018·The Journal of Vascular Access·Denise KimGraham Roche-Nagle
Aug 4, 2018·The Journal of Vascular Access·Martin SödermanLene L Clausen
Apr 9, 2014·Hypertension·Amy E BurchellJulian F R Paton
Jul 28, 2020·The Journal of Vascular Access·Vernon D HorstWilliam C Jennings
Apr 16, 2021·Vascular Health and Risk Management·Nicola PirozziMatteo Tozzi

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