Document Detail

Subcutaneous transposition of the superficial femoral artery for arterioarterial hemodialysis: technique and results.
MedLine Citation:
PMID:  19133026     Owner:  NLM     Status:  MEDLINE    
We report the use of subcutaneous transposition of the femoral artery (STFA) for placement of both inflow and outflow needles in 14 hemodialysis (HD) adult patients with difficult access. Follow-up time was 318 months during which a total of 3215 arterioarterial HD sessions were done. Kt/V values ranged between 0.71 and 1.59. Elevated access recirculation and dialysis outflow pressures were common findings to all patients. Complications were: (i) two episodes of bleeding secondary to puncture-related arterial wall laceration, repaired by stitching; (ii) three episodes of thrombosis in two patients, all successfully declotted; (iii) three puncture-related complications needing placement of a vein interposition graft, namely, aneurysm, pseudoaneurysm, and arterial stenosis; and (iv) one case of arterial ligation because of suppurative puncture site infection, without subsequent distal ischemia signs or claudication. The use of STFA should only be reserved for patients in urgent need for vascular access with no remaining options.
Octavio J Salgado; Nemesio A Terán; Beatriz Rosales; Rafael A Garcia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  32     ISSN:  1525-1594     ISO Abbreviation:  Artif Organs     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  969-73     Citation Subset:  IM    
Center of Experimental Surgery and Medicine, University of Zulia, Maracaibo, Venezuela.
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MeSH Terms
Aneurysm / etiology
Aneurysm, False / etiology
Constriction, Pathologic / etiology
Femoral Artery / surgery*
Follow-Up Studies
Hemorrhage / etiology
Infection / etiology
Middle Aged
Outcome Assessment (Health Care)
Renal Dialysis / methods*
Thrombosis / etiology
Vascular Surgical Procedures / adverse effects*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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