title: Use of superficial femoral vein for hemodialysis arteriovenous access.
abstract: 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.
authors.affiliation: Department of Surgery, University of Florida College of Medicine, Gainesville Veterans Administration Medical Center, Florida, USA.
authors.forename: T S
authors.initials: TS
authors.lastname: Huber
authors.forename: C K
authors.initials: CK
authors.lastname: Ozaki
authors.forename: T C
authors.initials: TC
authors.lastname: Flynn
authors.forename: E A
authors.initials: EA
authors.lastname: Ross
authors.forename: J M
authors.initials: JM
authors.lastname: Seeger
mesh_terms: 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