AI Article Synopsis
- - A 51-year-old woman with sickle cell disease required a new arteriovenous graft for hemodialysis due to exhausted access sites and central vein issues.
- - The surgical team created a graft connecting the left common iliac artery to the inferior vena cava, as the left groin had scar tissue and the right groin had complications.
- - The patient experienced a smooth recovery with good graft function, and four months post-surgery, she is successfully using the graft for dialysis.
Article 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.
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| http://dx.doi.org/10.1016/j.jvs.2012.01.062 | DOI Listing |
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