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 Cheema, Mark G. Davies, Alan B. Lumsden, Eric K. Peden

Research output: Contribution to journalArticle

6 Citations (Scopus)

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)
JournalAnnals of Vascular Surgery
Volume25
Issue number2
DOIs
StatePublished - Feb 2011
Externally publishedYes

Fingerprint

Iliac Vein
Venae Cavae
Femoral Vein
Blood Vessels
Dialysis
Upper Extremity
Inferior Vena Cava
Thigh
Fistula
Ligation
Renal Dialysis
Lower Extremity
Catheters
Quality of Life

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Combined femoral vein transposition and iliac vein to suprarenal vena cava bypass as a last resort dialysis access. / Bellows, Patricia H.; Anaya-Ayala, Javier E.; Cheema, Zulfiqar; Davies, Mark G.; Lumsden, Alan B.; Peden, Eric K.

In: Annals of Vascular Surgery, Vol. 25, No. 2, 02.2011.

Research output: Contribution to journalArticle

Bellows, Patricia H. ; Anaya-Ayala, Javier E. ; Cheema, Zulfiqar ; Davies, Mark G. ; Lumsden, Alan B. ; Peden, Eric K. / Combined femoral vein transposition and iliac vein to suprarenal vena cava bypass as a last resort dialysis access. In: Annals of Vascular Surgery. 2011 ; Vol. 25, No. 2.
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