Aggarwal, Bhuvnesh Kumar and Shatapathy, Pitambar and Kamath, Ganesh S and Unni, Narayanan V (1998) In-situ saphenous vein loop arterio-venous fistula for chronic haemodialysis. Indian Journal of Urology, 15 (1). pp. 79-83.

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Abstract

In patients with end stage renal failure who have exhausted all the conventional sites of vascular access, longterm 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 followup 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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