Use of superficial femoral vein for hemodialysis arteriovenous access.
Maintaining hemodialysis access in the expanding number of patients with end-stage renal disease is a difficult and challenging problem. Published guidelines outline the initial recommendations for hemodialysis access; however, there is little consensus about the most appropriate options for the subset of patients with repeated access failures and/or unsuitable veins. Two case reports are presented describing the use of composite saphenous-superficial femoral vein autogenous accesses placed in the upper and lower extremities. The function of the autogenous accesses appeared to be similar to a mature arteriovenous fistula in the short-term, although further longitudinal studies are required. The superficial femoral vein may be a useful hemodialysis access conduit for patients with limited access options.
Huber
T S
TS
Department of Surgery, University of Florida College of Medicine, Gainesville Veterans Administration Medical Center, Florida, USA.
Ozaki
C K
CK
Flynn
T C
TC
Ross
E A
EA
Seeger
J M
JM
D000328:Adult; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D005268:Femoral Vein / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012501:Saphenous Vein / Q000601:surgery