Ribeiro Matheus Mannarino Carmo Silva, Rodrigues Eduardo, Bezerra Alex, Vilela Eric Paiva, Fagundes Felipe Borges, Gomes Cristiane Ferreira de Araújo, Pinto Cristina Ribeiro Riguetti, Virgini-Magalhães Carlos Eduardo
Universidade do Estado do Rio de Janeiro - UERJ, Hospital Universitário Pedro Ernesto - HUPE, Rio de Janeiro, RJ, Brasil.
J Vasc Bras. 2022 Oct 3;21:e20210135. doi: 10.1590/1677-5449.202101351. eCollection 2022.
The significant growth in the number of individuals dependent on hemodialysis for renal replacement therapy and unrestricted use of short and long-term catheters have challenged vascular surgeons in search of solutions for patients whose options for access via the upper limbs have been exhausted and for the increasing rates of central venous stenosis in these patients. When access via the upper limbs is impossible, exceptional techniques can be used and the lower limbs offer feasible alternative vascular access sites for hemodialysis. This article reports a case of superficial femoral vein transposition to make a loop arteriovenous fistula in a patient with no possibility of access via the upper limbs and presents a literature review on this technique that remains little used.
依赖血液透析进行肾脏替代治疗的患者数量显著增长，以及短期和长期导管的无限制使用，给血管外科医生带来了挑战，他们需要为上肢血管通路选择已用尽的患者寻找解决方案，并应对这些患者中不断上升的中心静脉狭窄发生率。当无法通过上肢建立血管通路时，可以采用特殊技术，下肢为血液透析提供了可行的替代血管通路部位。本文报告了一例在无法通过上肢建立血管通路的患者中进行股浅静脉移位以制作袢状动静脉内瘘的病例，并对这种较少使用的技术进行了文献综述。
