The Superficial Femoral–Popliteal Vein Transposition Fistula: Description of A New Vascular Access Procedure

Jackson, Mark R.

doi:10.1016/s1072-7515(00)00707-9

Cited by 31 publications

(25 citation statements)

References 6 publications

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“…The prosthetic graft is tunneled superficially in a loop between the femoral vein and artery to perform the two anastomoses. 70,124 Body wall prosthetic accesses. Prosthetic axillary-axillary (vein) chest access (necklace prosthetic access).…”

Section: Autogenous Accessesmentioning

confidence: 99%

The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access

Sidawy

Spergel

Besarab

et al. 2008

Journal of Vascular Surgery

465

411

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Recognizing the impact of the decision making by the dialysis access surgeon on the successful placement of autogenous arteriovenous hemodialysis access, the Society for Vascular Surgery assembled a multispecialty panel to develop practice guidelines in arteriovenous access placement and maintenance with the aim of maximizing the percentage and functionality of autogenous arteriovenous accesses that are placed. The Society commissioned the Knowledge and Encounter Research Unit of the Mayo Clinic College of Medicine, Rochester, Minnesota, to systematically review the available evidence in three main areas provided by the panel: timing of referral to access surgeons, type of access placed, and effectiveness of surveillance. The panel then formulated practice guidelines in seven areas: timing of referral to the access surgeon, operative strategies to maximize the placement of autogenous arteriovenous accesses, first choice for the autogenous access, choice of arteriovenous access when a patient is not a suitable candidate for a forearm autogenous access, the role of monitoring and surveillance in arteriovenous access management, conversion of a prosthetic arteriovenous access to a secondary autogenous arteriovenous access, and management of the nonfunctional or failed arteriovenous access. For each of the guidelines, the panel stated the recommendation or suggestion, discussed the evidence or opinion upon which the recommendation or suggestion was made, detailed the values and preferences that influenced the group's decision in formulating the relevant guideline, and discussed technical remarks related to the particular guideline. In addition, detailed information is provided on various configurations of autogenous and prosthetic accesses and technical tips related to their placement.

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Section: Autogenous Accessesmentioning

confidence: 99%

The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access

Sidawy

Spergel

Besarab

et al. 2008

Journal of Vascular Surgery

465

411

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“…This vein has been used extensively as a conduit for aortic reconstructions, venous reconstructions, infra-inguinal revascularizations and as an arteriovenous fistula for HD with good long term results 13 . Jackson and colleagues 6 reported that the superficial femoral vein is an ideal material for vascular access in the lower extremities. However, complications are frequent including thromboses, cardiac failure, symptomatic distal leg ischemia (steal syndrome), aneurysm, edema of the limb and infection 14,15 .…”

Section: Discussionmentioning

confidence: 99%

“…A vascular access using the superficial femoral vein (SFV) has been previously reported [4][5][6][7] with contradictory results. Some patients developed severe chronic venous insufficiency, others display steal syndrome and even amputations are reported 8 .…”

Section: Introductionmentioning

confidence: 99%

Latero-lateral femoro-femoral arteriovenous fistula: a new surgical approach for hemodialysis patients with no vascular access

et al. 2011

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Purpose: A new surgical approach for vascular access for hemodialysis using a latero-lateral arteriovenous fistula (AVF) in the thigh between the femoral artery (FA) and superficial femoral vein (SFV) transposed to the subcutaneous layer in patients with no other access options is described. Methods: Ten patients (mean age: 37,9 years) for whom all possible sites for execution of any other procedure had been exhausted, underwent latero-lateral AVF close to the adductor channel between the FA and the SFV. The FSV was released and sectioned 2 cm from its confluence with the deep femoral vein and transposed in the subcutaneous tissue with extensions using saphenous vein or prosthetic material (PTFE) when needed. Follow -up included patency, flow evaluation and complications. Results: Postoperative follow-up ranged from 3 to 96 months, with a mean of 38 months. The AVFs presented a flow of more than 350 ml/min and the AVFs remained patent for a mean period of 38 months. There were three failures of the procedures at 3, 5 and 7 months during postoperative follow-up due to graft infection and thrombosis (a case), anaphylactic shock and thrombosis (a case) and calf pain during dialysis (a case). Two patients developed slight inferior limb edema. Conclusion: The new surgical approach for access for hemodialysis represents a feasible procedure, with acceptable patency rates in exceptional cases where no other access option is available. Key words: Arteriovenous Fistula. Femoral Vein. Femoral Artery. Renal Dialysis. RESUMOObjetivo: Nova abordagem para acesso vascular para hemodiálise usando fistula artério-venosa (FAV) látero-lateral na coxa entre a artéria femoral (AF) e a veia femoral superficial (VFS) transposta no subcutâneo em pacientes sem opção de acesso. Métodos: Dez pacientes (idade média 37,9 anos), cuja possibilidade de acesso havia sido exaurido, foram submetidos a FAV látero-lateral na coxa entre a AF e a VFS.Esta veia foi liberada e seccionada 2 cm de sua confluência com a veia femoral profunda e transposta no plano superficial com extensão usando a veia safena ou material protético (PTFE) quando necessário.O seguimento incluíu a perviedade , fluxo e complicações. Resultados: O seguimento pós-operatório foi de 3 a 96 meses (média 38). A FAV apresentou fluxo mínimo de 350 ml/min e permaneceu pérvia no período médio de 38 meses. Houve 3 falências aos 3, 5, e 7 meses pós-operatórios por infecção de prótese e trombose da FAV (um caso), choque anafilático e trombose (um caso) e dor na panturrilha na hemodiálise (um caso). Dois pacientes desenvolveram discreto edema de membro inferior. Conclusão: A nova abordagem para acesso vascular para hemodiálise representa um procedimento factível, com aceitável perviedade em casos excepcionais onde nenhum outro acesso é disponível. Descritores: Fístula Arteriovenosa. Veia Femoral. Artéria Femoral. Diálise Renal. Latero-lateral femoro-femoral arteriovenous fistula. A new surgical approach for hemodialysis patients with no vascular access

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“…10) for hemodialysis access in two patients who had multiple failed upper extremity access attempts and central venous occlusion. 32 Although flow rates through the fistulae were high (700 mL/min to 1600 mL/min), neither patient developed congestive heart failure or symptoms of lower extremity ischemia. Given these flow rates, however, patients should undergo careful screening for congestive heart failure and lower extremity vascular disease.…”

Section: Hemodialysis Accessmentioning

confidence: 92%

The Superficial Femoral-Popliteal Vein Graft: A Reliable Conduit for Large-Caliber Arterial and Venous Reconstructions

Seidel¹,

Modrall²,

Jackson³

et al. 2001

Perspectives in Vascular Surgery and Endovascular Therapy

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Vascular surgeons are increasingly called upon to perform arterial reconstructions in patients who have unusable or absent saphenous veins forcing consideration of alternative conduits. Although prosthetic grafts have excellent performance when used as bypasses involving the aorta and its branches, there are clearly circumstances in which autogenous conduits are preferable. The superficial femoral popliteal vein (SFPV) has proven to be an outstanding alternative in these situations. Although the SFPV was originally used at our institution for the treatment of aortic graft infections, the success of reconstructions for this indication has led us to utilize the SFPV conduit in many other situations. The SFPV has proven to be superior to prosthetic grafts for infrainguinal limb salvage procedures and for hemodialysis access in certain situations. In addition, the SFPV appears to be the conduit of choice for use in infected fields of all types and for large caliber venous reconstructions. The purpose of this article is to review the use of the SFPV conduit in creation of the neoaortoiliac system (NAIS), update our results, and survey alternative uses for this versatile conduit. We also address the technical details of its harvest and implantation technique.

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The Superficial Femoral–Popliteal Vein Transposition Fistula: Description of A New Vascular Access Procedure

Cited by 31 publications

References 6 publications

The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access

The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access

Latero-lateral femoro-femoral arteriovenous fistula: a new surgical approach for hemodialysis patients with no vascular access

The Superficial Femoral-Popliteal Vein Graft: A Reliable Conduit for Large-Caliber Arterial and Venous Reconstructions

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