Ismail H Mohamed1, Atul Bagul, Tahir Doughman, Michael L Nicholson. 1. Transplant Surgery Group, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester General Hospital, Leicester, UK. ismailheyder@yahoo.com
Abstract
BACKGROUND: Vascular access in hemodialysis patients can be challenging especially in those with failed primary, secondary and/or tertiary procedures. We present a technique which utilizes the axillary artery and vein to fashion a synthetic loop graft. METHOD: A synthetic arteriovenous loop graft is formed using the axillary artery and vein under general anesthesia following pre-operative contrast venograms. DISCUSSION: This method allows the use of the upper arm vessels, thereby preserving vessels in the legs; it also facilitates immediate access for dialysis. CONCLUSION: The axillary-axillary loop graft is a valuable salvage option in patients with complex vascular access.
BACKGROUND: Vascular access in hemodialysis patients can be challenging especially in those with failed primary, secondary and/or tertiary procedures. We present a technique which utilizes the axillary artery and vein to fashion a synthetic loop graft. METHOD: A synthetic arteriovenous loop graft is formed using the axillary artery and vein under general anesthesia following pre-operative contrast venograms. DISCUSSION: This method allows the use of the upper arm vessels, thereby preserving vessels in the legs; it also facilitates immediate access for dialysis. CONCLUSION: The axillary-axillary loop graft is a valuable salvage option in patients with complex vascular access.