Document Detail


Transposed saphenous vein arteriovenous fistula revisited: new technology for an old idea.
MedLine Citation:
PMID:  12044427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients without renal function are living longer than in the past, and the provision of dialysis access is a growing problem. The distal end of the greater saphenous vein can be anastomosed to the femoral artery, creating a transposed saphenous vein thigh arteriovenous fistula, which offers the theoretical advantages of autologous conduit and a native venous 'anastomosis.' This is a rarely performed procedure, however, in part because of the morbidity of vein harvest and the risk of groin infection. We have been favorably impressed by the reduction in morbidity and wound infection following endoscopic vein harvest for lower extremity bypass, and believe that the success of this technique merits a reevaluation of this procedure.
Authors:
Karl A Illig; Mark Orloff; Sean P Lyden; Richard M Green
Related Documents :
12076117 - An experimental clot model in sheep; generation of a heterologous clot and its detectio...
21808167 - Clinical challenges in accurate assessment of severe aortic stenosis with a special foc...
681437 - Comparison of expanded ptfe and vein grafts in lower extremity arterial reconstructions.
18675557 - Preservation for future use of the autologous saphenous vein during femoro-popliteal by...
12740947 - Functional anatomy and hemodynamic characteristics of vasa vasorum in the walls of porc...
8041817 - New perioral arterial flaps: anatomic study and clinical application.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  10     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-04     Completed Date:  2002-09-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  212-5     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA. karl_illig@urmc.rochester.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Arteriovenous Shunt, Surgical / methods*
Endoscopy / methods*
Femoral Artery / surgery*
Humans
Kidney Failure, Chronic / surgery
Renal Dialysis / methods*
Saphenous Vein / surgery*
Tissue and Organ Harvesting / methods
Treatment Outcome

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


Previous Document:  Recognition of a non-recurrent laryngeal nerve during carotid endarterectomy.
Next Document:  Surgical management of left ventricular aneurysms by endoventricular pericardial patch plasty.