Left common iliac artery to inferior vena cava abdominal wall arteriovenous graft for hemodialysis access.

Abstract

We describe a novel arteriovenous graft configuration in the abdominal wall for hemodialysis in a 51-year-old woman with sickle cell disease. Upper extremity access sites were exhausted, and intrathoracic central veins occluded. Because of diminished quality of the left groin due to scar tissue from previous infected access, inadequate vasculature, and the presence of functional femoral catheter in the right groin with common iliac vein stenosis, we decided to create an arteriovenous graft from the left common iliac artery to the inferior vena cava. Adequate thrill and uneventful postoperative recovery was observed. At 4 months, the patient has been successfully using her graft.

• Authors: Nader Zamani, Javier E Anaya-Ayala, Nyla Ismail, Eric K Peden
• Journal: Journal of vascular surgery (J Vasc Surg) Vol. 56 Issue 2 Pg. 489-91 (Aug 2012) ISSN: 1097-6809 [Electronic] United States
• PMID: 22494692 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

Topics

• Anemia, Sickle Cell (complications)
• Arteriovenous Shunt, Surgical (methods)
• Blood Vessel Prosthesis Implantation
• Female
• Humans
• Iliac Artery (surgery)
• Kidney Failure, Chronic (complications, etiology, therapy)
• Middle Aged
• Renal Dialysis
• Thrombophilia (complications)
• Upper Extremity Deep Vein Thrombosis (complications)
• Vascular Diseases (complications)
• Vena Cava, Inferior (surgery)