Document Detail

Transposed saphenous vein arteriovenous fistula revisited: new technology for an old idea.
MedLine Citation:
PMID:  12044427     Owner:  NLM     Status:  MEDLINE    
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.
Karl A Illig; Mark Orloff; Sean P Lyden; Richard M Green
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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    
Division of Vascular Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA.
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MeSH Terms
Arteriovenous Shunt, Surgical / methods*
Endoscopy / methods*
Femoral Artery / surgery*
Kidney Failure, Chronic / surgery
Renal Dialysis / methods*
Saphenous Vein / surgery*
Tissue and Organ Harvesting / methods
Treatment Outcome

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