La superficialisation d'abords artérioveineux profonds chez des patients obèses au moyen d'une lipectomie d'aspiration: Une approche novatrice

Translated title of the contribution: Superficialization of deep arteriovenous access procedures in obese patients using suction-assisted lipectomy: A novel approach

Daniel J. Krochmal, Alanna M. Rebecca, Kristen A. Kalkbrenner, William J. Casey, Richard J. Fowl, William M. Stone, Alyssa B. Chapital, Anthony A. Smith

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Successful dialysis access necessitates superficial arteriovenous fistula (AVF) placement to facilitate identification of anatomical landmarks for safe cannulation. Suction-assisted lipectomy (SAL) may be an alternative to traditional surgical AVF revision procedures for placing fistulas more superficially. Three patients with an average body mass index of 45.2 kg/m2, with inaccessible AVFs due to obesity, underwent ultrasound-guided SAL of their upper extremities. Successful cannulation was achieved within two weeks. A clinically insignificant hematoma and arm swelling occurred in one patient. SAL provides a safe and effective alternative for salvaging deep AVFs for dialysis access in the upper extremities of obese patients.

Translated title of the contributionSuperficialization of deep arteriovenous access procedures in obese patients using suction-assisted lipectomy: A novel approach
Original languageFrench
Pages (from-to)25-27
Number of pages3
JournalCanadian Journal of Plastic Surgery
Volume18
Issue number1
DOIs
StatePublished - 2010

Keywords

  • Arteriovenous shunt
  • Renal dialysis
  • Suction-assisted lipectomy

ASJC Scopus subject areas

  • Surgery

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