title: Tagliatelle technique for arteriovenous fistula creation using a great saphenous vein semipanel graft.
abstract: 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.
authors: Institute Mutualiste Montsouris, Paris, France. Electronic address: faris.alomran@gmail.com.
authors: Faris
authors: F
authors: Alomran
authors: Benoit
authors: B
authors: Boura
authors: Alexandros
authors: A
authors: Mallios
authors: Romain
authors: R
authors: De Blic
authors: Alessandro
authors: A
authors: Costanzo
authors: Myriam
authors: M
authors: Combes
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D005268:Femoral Vein / Q000637:transplantation*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D006435:Renal Dialysis / Q000379:methods*; D012501:Saphenous Vein / Q000637:transplantation*