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Use of the Superficial Femoral-Popliteal Vein to Salvage Dialysis Access

A Case Report

Alexander S. Tretinyak, MD

Steven M. Santilli, MD, PhD

Department of Surgery, Veterans Affairs Medical Center, University of Minnesota, Minneapolis, Minnesota

Long-term angioaccess for patients with chronic renal failure remains a serious challenge for the vascular surgeon. This report is of a 69-year-old man who had a well-functioning left Brescia fistula at the time of his pacemaker placement for life-threatening cardiac dysrhythmias. Following pacemaker placement, the patient developed left arm swelling, which involved the entire upper limb and failure of the hemodialysis access secondary to a left subclavian vein stenosis. After failed attempts at angioplasty and other endovascular procedures, the patient underwent successful placement of a left axillary vein to left internal jugular vein interposition graft using the left superficial femoral popliteal vein to salvage the dialysis access.

Vascular and Endovascular Surgery, Vol. 34, No. 6, 531-535 (2000)
DOI: 10.1177/153857440003400605


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