Biomaterial Database

Superficial femoral vein transposition as a solution for hemodialysis vascular access. 2022

Matheus Mannarino Carmo Silva Ribeiro, and Eduardo Rodrigues, and Alex Bezerra, and Eric Paiva Vilela, and Felipe Borges Fagundes, and Cristiane Ferreira de Araújo Gomes, and Cristina Ribeiro Riguetti Pinto, and Carlos Eduardo Virgini-Magalhães

Universidade do Estado do Rio de Janeiro - UERJ, Hospital Universitário Pedro Ernesto - HUPE, Rio de Janeiro, RJ, Brasil.

The significant growth in the number of individuals dependent on hemodialysis for renal replacement therapy and unrestricted use of short and long-term catheters have challenged vascular surgeons in search of solutions for patients whose options for access via the upper limbs have been exhausted and for the increasing rates of central venous stenosis in these patients. When access via the upper limbs is impossible, exceptional techniques can be used and the lower limbs offer feasible alternative vascular access sites for hemodialysis. This article reports a case of superficial femoral vein transposition to make a loop arteriovenous fistula in a patient with no possibility of access via the upper limbs and presents a literature review on this technique that remains little used.

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