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A simple vascular access for hemodialysis in "desperate" cases
The Italian Journal of Surgical Sciences
|January 1, 1986
Summary
Directly connecting the superficial femoral artery and saphenous vein offers a safe and effective hemodialysis vascular access option when upper extremity sites are unavailable. This reliable procedure ensures excellent accessibility and long-term patency.
Area of Science:
- Vascular Surgery
- Nephrology
- Dialysis Access
Background:
- Upper extremity vascular access for hemodialysis may become unavailable.
- Alternative sites are crucial for patients requiring long-term renal replacement therapy.
Purpose of the Study:
- To evaluate the efficacy of direct anastomosis between the distal superficial femoral artery and saphenous vein for hemodialysis access.
- To determine the safety, reliability, and patency rates of this surgical option.
Main Methods:
- Surgical creation of an arteriovenous fistula using the distal superficial femoral artery and saphenous vein.
- Assessment of procedural simplicity and safety.
- Evaluation of long-term patency and accessibility for hemodialysis.
Main Results:
- The procedure is technically simple and safe to perform.
- It provides reliable and excellent accessibility for hemodialysis.
- The technique demonstrates a high long-term patency rate.
Conclusions:
- Direct arteriovenous anastomosis between the distal superficial femoral artery and saphenous vein is a valid and effective alternative for hemodialysis access.
- This method offers a reliable solution when upper extremity options are exhausted, ensuring sustained dialysis functionality.