Transposed saphenous vein arteriovenous fistula revisited: new technology for an old idea

Thigh arteriovenous grafts. Quantitative comparison with alternative options: A meta-analysis

“…[16][17][18][19] Transposed great saphenous vein merits a reevaluation and new technology as endoscopic harvesting of the vein may improve the results. 20 Femoral vein transposition, first used by Bourquelot et al 21 and first reported by Huber et al, 22 either in a straight configuration from the distal superficial femoral artery or as a loop from the common femoral artery, has been proved the most durable lower limb access procedure, with low infection rates and excellent primary patency rates ranging from 74% up to 87% at 2 years in series with 10 or more patients (Table 1). 21,[23][24][25][26][27][28][29] However, femoral vein transposition is a major undertaking associated with an increased risk of steal and subsequent severe limb ischemia and, additionally, is not a good option for obese patients or those with established peripheral arterial disease.…”

Straight configuration saphenous vein transposition to popliteal artery for vascular access

“…Saphenous vein loop transposition has not been favored because of poor reported results in patency and functionality and a very high rate of serious complications (2–3–4–5). There are only a few published series about straight saphenous vein transpositions to the distal femoral or proximal popliteal arteries (6–7–8–9).…”

“…We used open surgical mobilization of the vein through 3-4 separate incisions with no hemorrhagic or infective complications. Endoscopic saphenous vein harvest has been advocated to reduce surgical incision trauma and may play a role in creation of this type of AVF (9).…”

Comparing the saphenous vein with the Gore-tex bridge fistula in thigh for chronic hemodialysis

“…The modified form of the original technique is described by SantiagoDelpin et al by anastomosing the harvested saphenous vein to one of the minor branches of the femoral artery like the lateral femoral circumflex artery to prevent potential problems of high flow fistula and atherosclerotic femoral artery [13]. Recently some authors have used endoscopic vein harvesting for lowering the morbidity rates [14]. The results of this study show that the function criteria of the GSV and PTFE groups are the same and an acceptable number of the patients in the GSV group have a usable venous access at the end of a year.…”