SAPHENOFEMORAL LOOP FISTULA FOR HEMODIALYSIS ACCESS AS AN ALTERNATIVE ROUTE: A PRELIMINARY CLINICAL STUDY

Osman Tansel Darçın, Alper Sami Kunt, Deniz Demir, Mehmet Salih Aydın, Mehmet Halit Andaç

Harran Üniversitesi Tıp Fakültesi, Kalp Damar Cerrahisi Ana Bilim Dalı, Şanlıurfa

Background: Although arteriovenous fistula access operations have been usually performed on upper extremities, studies still continue searching for alternative fistula access routes in patients whose access is thrombosed.

Methods: Two cases who received saphenofemoral loop arteriovenous access were evaluated. Both of them were operated before several times, all fistulas were thrombosed and no suitable site for fistula formation remained in the upper extremities. Under spinal anesthesia, they undergone saphenofemoral loop fistula access.

Results: The fistulas of the patients have revealed thrill postoperatively. No ischemia was detected on the lower extremities and peripheral pulses were palpable. They undergone hemodialysis without any problem.

Conclusion: Saphenofemoral loop fistula is a suitable access route in patients who has no other chance of upper extremity fistula. It also is cheaper than polytetrafluoroethylene access grafts with a lower risk of infection and thrombosis.

Keywords : Hemodialysis access, alternative route, saphenofemoral loop fistula

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