2010
DOI: 10.1016/j.amjsurg.2010.05.008
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Accessible autogenous vascular access for hemodialysis in obese individuals using lipectomy

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Cited by 31 publications
(60 citation statements)
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References 14 publications
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“…27 Patients with prolonged time to access cannulation were those requiring staged transpositions, interventions for maturation, staged lipectomy, or vein elevation. 28 Twenty-eight patients had AVFs that failed and were not salvaged during the study period. Among those individuals with a failed access, nine had a new successful AVF created, one changed to peritoneal dialysis, one received a successful transplant, five were lost to follow-up, and the rest continued catheter-based dialysis treatments.…”
Section: Wementioning
confidence: 98%
“…27 Patients with prolonged time to access cannulation were those requiring staged transpositions, interventions for maturation, staged lipectomy, or vein elevation. 28 Twenty-eight patients had AVFs that failed and were not salvaged during the study period. Among those individuals with a failed access, nine had a new successful AVF created, one changed to peritoneal dialysis, one received a successful transplant, five were lost to follow-up, and the rest continued catheter-based dialysis treatments.…”
Section: Wementioning
confidence: 98%
“…Many techniques have been described to decrease the distance between a vein and the skin. The most common technique is surgical elevation of the AVF (42), but other techniques include open lipectomy and liposuction (43,44).…”
Section: Comorbiditiesmentioning
confidence: 99%
“…This group of patients has an increased risk of arteriovenous fistula (AVF) failure due to advanced arteriosclerosis but mostly due to reduced accessibility of forearm vessels because of excessive overlying fat tissue that causes miscannulation and needling difficulties resulting in local infiltration, infection, and aneurysmatic vein dilatation. 115,116 Superficial AVF is necessary for successful dialysis access. Surgical techniques, using vein elevation/stretching/transposition and repositioning are indicated for deeply located or tortuous veins.…”
Section: Superficialization Of Arteriovenous Accesses For Hemodialysismentioning
confidence: 99%