Staged ultrasound-guided liposuction for hidden arteriovenous fistulas in obese patients

VASA. Zeitschrift für Gefässkrankheiten
Gabor Cs NagyMatthias Wunsch

Abstract

In obese patients with end stage renal disease, puncturing matured arteriovenous fistulas (AVF) that run deep under the skin surface may prove difficult. To achieve reliable puncturability, there are several surgical solutions. Superficialization with mobilization is common. With some newer options (lipectomy and liposuction) subcutaneous adipose tissue is surgically reduced. There are only a few authors who have published their experience with liposuction and we want to add our own results. We report our experience with ultrasound-guided liposuction (USGL). We introduce liposuction cannulas via small incisions to reduce the subcutaneous adipose tissue overlying the planned cannulation zones under ultrasound control using tumescent anaesthesia till the prospective needle access segments become easily palpable. So far, we have used this technique for cephalic forearm and upper arm fistulas only. Furthermore, we review the relevant literature. From February 2014 through November 2016, six patients were treated using USGL. Their body mass indices ranged from 30.8 to 53.8 kg/m2 (mean 37.6). The mean depths of the AVFs beneath the skin surface were 13.3 (8-20) mm before and 5.1 (3.5-6) mm after surgery. The mean time of the procedur...Continue Reading

References

Apr 7, 2006·Journal of the American Society of Nephrology : JASN·Holly J KramerRichard Cooper
May 18, 2007·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jan TordoirRaymond Vanholder
Feb 2, 2010·The Journal of Vascular Access·Daniela A OchoaWilliam C Jennings
Jul 6, 2010·Journal of Vascular Surgery·Marlin Wayne CauseyNiten Singh
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
Mar 10, 2015·The Journal of Vascular Access·Pierre BourquelotNicola Pirozzi
Oct 11, 2015·Journal of the American College of Surgeons·C Miles MaliskaAlexandros Mallios
Oct 21, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jeff LastfogelSunil Tholpady
Dec 19, 2015·Journal of Vascular Surgery·Sashi InkolluSurendra Shenoy
Jul 29, 2016·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Maurizio PostorinoUNKNOWN Calabrian and Emilian Dialysis and Transplantation Registries' Workgroups

❮ Previous
Next ❯

Citations

Jun 11, 2020·The Journal of Vascular Access·Marius C FlorescuDebra A Reilly

❮ Previous
Next ❯

Methods Mentioned

BETA
lipectomy

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique
Daniel J KrochmalAnthony A Smith
Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
Cemal KocaaslanEbuzer Aydin
Journal of the American College of Surgeons
C Miles MaliskaAlexandros Mallios
© 2022 Meta ULC. All rights reserved