title: Axillary-axillary loop graft for hemodialysis access.
abstract: BACKGROUND
  Vascular access in hemodialysis patients can be challenging especially in those with failed primary, secondary and/or tertiary procedures. We present a technique which utilizes the axillary artery and vein to fashion a synthetic loop graft.
  
  
  METHODS
  A synthetic arteriovenous loop graft is formed using the axillary artery and vein under general anesthesia following pre-operative contrast venograms.
  
  
  CONCLUSIONS
  This method allows the use of the upper arm vessels, thereby preserving vessels in the legs; it also facilitates immediate access for dialysis.
  
  
  CONCLUSIONS
  The axillary-axillary loop graft is a valuable salvage option in patients with complex vascular access.
authors.affiliation: Transplant Surgery Group, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester General Hospital, Leicester, UK. ismailheyder@yahoo.com
authors.forename: Ismail H
authors.initials: IH
authors.lastname: Mohamed
authors.forename: Atul
authors.initials: A
authors.lastname: Bagul
authors.forename: Tahir
authors.initials: T
authors.lastname: Doughman
authors.forename: Michael L
authors.initials: ML
authors.lastname: Nicholson
mesh_terms: D001166:Arteriovenous Shunt, Surgical; D001366:Axillary Artery / Q000601:surgery*; D001367:Axillary Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D010690:Phlebography; D006435:Renal Dialysis; D016896:Treatment Outcome