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Prophylactic distal revascularization and interval ligation procedure during femoral vein transposition fistula creation in patients at high risk for ischemic complications.

Abstract：

:Femoral vein transposition arteriovenous fistula (FVt AVF) is a viable autologous option when upper extremity dialysis access sites have become compromised. High volume flow through the AVF can lead to ischemic complications, including steal syndrome (SS), and may threaten access and limb viability. Risk factors for SS include: age >60 years, female sex, diabetes, atherosclerosis, hypertension, and previous limb procedures. Two dialysis patients, who were at high risk for SS in their lower extremities as assessed during the preoperative evaluation for an elective FVt AVF, had a distal revascularization and interval ligation (DRIL) procedure concurrently performed. At 42 and 24 months from their respective surgeries, both patients are reliably using their lower extremity autologous access sites and have not developed any signs or symptoms of ischemia. DRIL may represent an effective surgical strategy that can prophylactically be used to minimize the incidence of ischemic complications during FVt AVF in carefully selected, high-risk patients.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Zamani N,Anaya-Ayala JE,Ismail N,Davies MG,Peden EK

doi

10.1016/j.avsg.2012.10.008

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

353.e7-353.e11

issue

3

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(12)00490-6

journal_volume

27

pub_type

杂志文章

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