TY - JOUR
T1 - Combined femoral vein transposition and iliac vein to suprarenal vena cava bypass as a last resort dialysis access
AU - Bellows, Patricia H.
AU - Anaya-Ayala, Javier E.
AU - Cheema, Zulfiqar F.
AU - Davies, Mark
AU - Lumsden, Alan B.
AU - Peden, Eric K.
PY - 2011/1/1
Y1 - 2011/1/1
N2 - Patients undergoing hemodialysis are known to develop central venous occlusion and exhaust all options for vascular access to upper extremity sites; therefore, creating and maintaining vascular access is paramount in such patients. The present case report describes the condition of a 34-year-old woman with failed upper extremity access, frequent catheter-related issues, and multiple central venous occlusions. As a last resort, access to the lower extremity was pursued as follows: an inferior vena cava bypass was combined with a right femoral transposition fistula and a distal revascularization interval ligation procedure. This complex procedure that was carried out for the purpose of vascular access is a unique, albeit aggressive, surgical solution that resulted in autologous vascular access with a 6-month patency and also served to improve the quality of life in the seemingly hopeless case.
AB - Patients undergoing hemodialysis are known to develop central venous occlusion and exhaust all options for vascular access to upper extremity sites; therefore, creating and maintaining vascular access is paramount in such patients. The present case report describes the condition of a 34-year-old woman with failed upper extremity access, frequent catheter-related issues, and multiple central venous occlusions. As a last resort, access to the lower extremity was pursued as follows: an inferior vena cava bypass was combined with a right femoral transposition fistula and a distal revascularization interval ligation procedure. This complex procedure that was carried out for the purpose of vascular access is a unique, albeit aggressive, surgical solution that resulted in autologous vascular access with a 6-month patency and also served to improve the quality of life in the seemingly hopeless case.
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U2 - 10.1016/j.avsg.2010.03.029
DO - 10.1016/j.avsg.2010.03.029
M3 - Article
C2 - 20800432
AN - SCOPUS:79951513632
VL - 25
SP - 264.e5-264.e8
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
SN - 0890-5096
IS - 2
ER -