Combined femoral vein transposition and iliac vein to suprarenal vena cava bypass as a last resort dialysis access

Patricia H. Bellows, Javier E. Anaya-Ayala, Zulfiqar F. Cheema, Mark G. Davies, Alan B. Lumsden, Eric K. Peden

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)264.e5-264.e8
JournalAnnals of Vascular Surgery
Volume25
Issue number2
DOIs
StatePublished - Feb 2011

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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