Saphenous vein loop to femoral artery arteriovenous fistula: a practical alternative

Annals of Vascular Surgery
Daphne Pierre-PaulVivian Gahtan

Abstract

Secondary to central venous stenosis or thrombosis, alternate sites for permanent hemodialysis need to be explored. The authors' experience with the greater saphenous vein to common femoral artery loop arteriovenous fistula (GSV-CFA AVF) is presented. A retrospective review was performed of 4 women and 3 men with a mean age of 52.7 (range, 44-68) years. The mean number of prior access procedures was 3.85 (range, 1-5). Duplex ultrasound showed the greater saphenous vein (GSV) to be at least 3 mm in diameter. Perioperatively, no acute occlusion or significant steal syndrome developed. Groin wound complications (57.1%) resolved with local wound care and selectively antibiotic administration. Six patients developed mild to moderate edema, which required knee-high compression stockings. The mean follow-up was 15 (range, 9-24) months. Mean primary patency was 7 months, primary assisted patency was 15 months, and secondary patency was 16 months. The fistula was functional for hemodialysis in 71.4% (5/7). All patients developed stenoses within the GSV loop, with a mean of 3.0 balloon angioplasties per fistula. Three secondary surgical procedures were performed (two pseudoaneurysm repairs, one vein patch angioplasty). The GSV did not in...Continue Reading

References

Jun 11, 1979·World Journal of Surgery·P KinnaertJ Van Geertruyden
Jan 1, 1971·Nephron·G Flores Izquierdo, R Ronces Vivero
Apr 3, 1969·The New England Journal of Medicine·J MayA G Sheil
Jun 12, 1998·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·A KorzetsU Gafter
Jun 5, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Karl A IlligRichard M Green

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Citations

Aug 5, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Aneesh Srivastava, Sandeep Sharma
Aug 27, 2013·Journal of Vascular Surgery·Faris AlomranMyriam Combes
Sep 6, 2011·Seminars in Vascular Surgery·Christopher G Carsten
Jun 4, 2011·Current Problems in Surgery·Michael J CostanzaVivian Gahtan
Sep 22, 2007·Seminars in Vascular Surgery·Alik Farber, Karen Woo
Jul 15, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G A AntoniouA D Giannoukas
Feb 24, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L Berardinelli
May 12, 2012·Journal of Vascular Surgery·Pierre BourquelotGilbert Franco
Nov 22, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J H M TordoirF M van der Sande
May 29, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Vishal B ParekhTushar J Vachharajani
Aug 3, 2010·Vascular and Endovascular Surgery·Julio C VasquezNaeem Rahim
Oct 16, 2009·Vascular and Endovascular Surgery·Julio C VasquezFahim Rahim
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
Mar 2, 2011·The Journal of Vascular Access·Efstratios I GeorgakarakosMiltos K Lazarides
Apr 2, 2013·The Journal of Vascular Access·Alejandro Rodriguez MorataLieven Maene
Aug 4, 2018·The Journal of Vascular Access·Martin SödermanLene L Clausen
Oct 30, 2016·The Journal of Vascular Access·Gentian CacoEriola Likaj
Feb 18, 2010·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Yuichi SatoTatsuya Chikaraishi
Aug 6, 2015·The International Journal of Artificial Organs·Susie Q LewTodd S Ing
Aug 5, 2010·The Journal of Vascular Access·John M ScollayUNKNOWN East of Scotland Vascular Network
May 31, 2019·Journal of Vascular Surgery·Steven L PikeJeffrey J Siracuse

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