title: Left common iliac artery to inferior vena cava abdominal wall arteriovenous graft for hemodialysis access.
abstract: We describe a novel arteriovenous graft configuration in the abdominal wall for hemodialysis in a 51-year-old woman with sickle cell disease. Upper extremity access sites were exhausted, and intrathoracic central veins occluded. Because of diminished quality of the left groin due to scar tissue from previous infected access, inadequate vasculature, and the presence of functional femoral catheter in the right groin with common iliac vein stenosis, we decided to create an arteriovenous graft from the left common iliac artery to the inferior vena cava. Adequate thrill and uneventful postoperative recovery was observed. At 4 months, the patient has been successfully using her graft.
authors.affiliation: Department of Cardiovascular Surgery, Methodist DeBakey Heart & Vascular Center, and Methodist Hospital Research Institute, Methodist Hospital, Houston, TX 77030, USA.
authors.forename: Nader
authors.initials: N
authors.lastname: Zamani
authors.forename: Javier E
authors.initials: JE
authors.lastname: Anaya-Ayala
authors.forename: Nyla
authors.initials: N
authors.lastname: Ismail
authors.forename: Eric K
authors.initials: EK
authors.lastname: Peden
mesh_terms: D000755:Anemia, Sickle Cell / Q000150:complications; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D006435:Renal Dialysis; D019851:Thrombophilia / Q000150:complications; D056824:Upper Extremity Deep Vein Thrombosis / Q000150:complications; D014652:Vascular Diseases / Q000150:complications; D014682:Vena Cava, Inferior / Q000601:surgery*