Left common iliac artery to inferior vena cava abdominal wall arteriovenous graft for hemodialysis access.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 22494692.
- Also identified by DOI 10.1016/j.jvs.2012.01.062.
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Abstract
We describe a novel arteriovenous graft configuration in the abdominal wall for hemodialysis in a 51-year-old woman with sickle cell disease. Upper extremity access sites were exhausted, and intrathoracic central veins occluded. Because of diminished quality of the left groin due to scar tissue from previous infected access, inadequate vasculature, and the presence of functional femoral catheter in the right groin with common iliac vein stenosis, we decided to create an arteriovenous graft from the left common iliac artery to the inferior vena cava. Adequate thrill and uneventful postoperative recovery was observed. At 4 months, the patient has been successfully using her graft.
Medical subject headings
- Arteriovenous Shunt, Surgical
- Iliac Artery
- Kidney Failure, Chronic
- Vena Cava, Inferior