Superficialization of Deep Arteriovenous Access Procedures in Obese Patients Using Suction-Assisted Lipectomy: A Novel Approach
Open Access
- 1 March 2010
- journal article
- case report
- Published by SAGE Publications in Canadian Journal of Plastic Surgery
- Vol. 18 (1), 25-27
- https://doi.org/10.1177/229255031001800112
Abstract
Successful dialysis access necessitates superficial arteriovenous fistula (AVF) placement to facilitate identification of anatomical landmarks for safe cannulation. Suction-assisted lipectomy (SAL) may be an alternative to traditional surgical AVF revision procedures for placing fistulas more superficially. Three patients with an average body mass index of 45.2 kg/m2, with inaccessible AVFs due to obesity, underwent ultrasound-guided SAL of their upper extremities. Successful cannulation was achieved within two weeks. A clinically insignificant hematoma and arm swelling occurred in one patient. SAL provides a safe and effective alternative for salvaging deep AVFs for dialysis access in the upper extremities of obese patients.Keywords
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