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Year : 1998  |  Volume : 14  |  Issue : 1  |  Page : 79-83

In-situ saphenous vein loop arterio-venous fistula for chronic haemodialysis


Department of Cardiovascular Thoracic Surgery and Nephrology, Kasturba Medical College and Hospital, Manipal

Correspondence Address:
B K Aggarwal
Department of Cardiovascular Thoracic Surgery and Nephrology, Kasturba Medical College and Hospital, Manipal

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Source of Support: None, Conflict of Interest: None


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In patients with end stage renal failure who have exhausted all the conventional sites of vascular access, long-term haemodialysis can be maintained with autologous saphenous vein graft arterio-venous fistula. Though saphenous vein has been successfully used in the forearm, its use in the thigh has not met with same success. We used in-situ autologous saphenous vein as a wide 'C' loop in the thigh in 15 such patients with great success over the last 5 years. Except for one case of thrombosis of the fistula due to poor long saphenous vein from old thrombophlebitis, in the rest of the patients haemodialysis could be maintained successfully over the follow-up period, which ranged from 2 months to 42 months. The fistula is easy and simple to construct, requiring only one anastomosis. We describe the patient selection and the operative technique of in-situ 'C' loop saphenous vein graft arterio-venous fistula.


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