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

Bourquelot, P; Rawa, Marek; Laere, Olivier Van; Franco, Gilbert

doi:10.1016/j.jvs.2012.01.068

Cited by 45 publications

(56 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Rueda et al (16) reported 10 patients with tFV LE-AVF accesses, and none had a lower extremity ischemic event. Bourquelot et al (17) reported secondary patency rates at 1 and 9 years of 84% 65% and 56%69%, respectively, in 72 tFV created in 70 patients. A major concern encountered in these studies was infection at femoral vein harvest site and compartment syndrome, especially in patients with low ankle-brachial index, highlighting the importance of patient selection.…”

Section: Transposed Femoral Vein Le-avfmentioning

confidence: 98%

Lower Extremity Permanent Dialysis Vascular Access

Parekh

Niyyar

Vachharajani

2016

CJASN

View full text Add to dashboard Cite

Hemodialysis remains the most commonly used RRT option around the world. Technological advances, superior access to care, and better quality of care have led to overall improvement in survival of patients on long-term hemodialysis. Maintaining a functioning upper extremity vascular access for a prolonged duration continues to remain a challenge for dialysis providers. Frequently encountered difficulties in clinical practice include (1) a high incidence of central venous catheter-related central vein stenosis and (2) limited options for creating a functioning upper extremity permanent arteriovenous access. Lack of surgical skills, fear of complications, and limited involvement of the treating nephrologists in the decision-making process are some of the reasons why lower extremity permanent dialysis access remains an infrequently used option. Similar to upper extremity vascular access options, lower extremity arteriovenous fistula remains a preferred access over arteriovenous synthetic graft. The use of femoral tunneled catheter as a long-term access should be avoided as far as possible, especially with the availability of newer graft-catheter hybrid devices. Our review provides a summary of clinical evidence published in surgical, radiology, and nephrology literature highlighting the pros and cons of different types of lower extremity permanent dialysis access.

show abstract

Section: Transposed Femoral Vein Le-avfmentioning

confidence: 98%

Lower Extremity Permanent Dialysis Vascular Access

Parekh

Niyyar

Vachharajani

2016

CJASN

View full text Add to dashboard Cite

show abstract

“…4 However, prosthetic grafts are frequently complicated by infection and venous anastomosis stenosis. Access loss as a result of infection is far more common in all thigh grafts compared with autologous thigh AV access (18.40% vs 1.61%, respectively).…”

Section: Discussionmentioning

confidence: 99%

“…3 (91%/45%) and secondary (84%/56%) patency, respectively, in a series of 72 tFV cases. 4 Similar to tFV, the described sPG technique does not involve a venovenous anastomosis, which is the most common site for restenosis. A major advantage of sPG, however, is that it allows for the conversion of a long thin conduit into a shorter but larger-diameter autologous conduit without disruption of the deep venous circulation.…”

Section: Discussionmentioning

confidence: 99%

Tagliatelle technique for arteriovenous fistula creation using a great saphenous vein semipanel graft

Alomran

Boura

Mallios

et al. 2013

Journal of Vascular Surgery

View full text Add to dashboard Cite

Lower limb arteriovenous (AV) access creation can be attempted in patients where upper limb options are exhausted. Utilization of the great saphenous vein as a conduit for AV access has been limited due to its small diameter and resistance to dilatation. Lower limb AV fistulas today are mostly either prosthetic grafts with high rates of infection and thrombosis or transposition of the femoral vein that can lead to limb-threatening venous hypertension. In this report, we describe an optimized technique for reconstruction of the great saphenous vein to serve as a dialysis conduit. This semipanel graft reconstruction effectively doubles the diameter of the conduit without disruption of the deep venous circulation and also mitigates the requirement for a venovenous anastomosis.

show abstract

“…Bourquelot et al 24 published long-term follow-up data for 70 patients with surgically created femoral fistulae. These lower limb fistulae had higher flow than upper limb fistulae with a mean flow of 1529±429 mL/min (range, 700-3000 mL/min) and are substantially larger in diameter than the current ROX stent anastomosis, which has a 4-mm diameter and admits 800 to 1000/min.…”

Section: Potential Procedural Complicationsmentioning

confidence: 99%

“…Thirteen patients (18%) required fistula ligation: 5 diabetic patients with peripheral arterial occlusive disease and high flow fistulae developed ischemic complications (1 major amputation included); 1 patient developed lower leg compartment syndrome (acute, required fasciotomies); 2 acute venous hypertension; 2 secondary major edema; 1 high-output cardiac failure (9 years after fistula creation, high-flow fistula); 2 major bleeding. 24 The group now excludes patients with diabetes mellitus and patients…”

Section: Potential Procedural Complicationsmentioning

confidence: 99%