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 contribution | Superficialization of deep arteriovenous access procedures in obese patients using suction-assisted lipectomy: A novel approach |
---|---|
Original language | French |
Pages (from-to) | 25-27 |
Number of pages | 3 |
Journal | Canadian Journal of Plastic Surgery |
Volume | 18 |
Issue number | 1 |
DOIs | |
State | Published - 2010 |
Keywords
- Arteriovenous shunt
- Renal dialysis
- Suction-assisted lipectomy
ASJC Scopus subject areas
- Surgery