Program Book - Keck School of Medicine of USC - University of ...

Lower Extremity Dialysis AccessData: tFVSmall skin incision and fistula elevation for hemodialysis using the femoralvein Alcocer, et al JVS 201225 patients; most recent technique in the last 13Smaller incision; Fistula elevationResults: reduced wound dehiscence/complicationsSimilar patencyStandard approachSmall incision; superficializationLower Extremity Dialysis AccessData: AVGProsthetic thigh arteriovenous access: outcome with SVS/AAVS reportingstandards Cull, et al, JVS 2004125 grafts in 100 patients2 year primary patency 19%, secondary patency 54%41% infection rate, 11% limb ischemia, 9% major amputation1.68 interventions/yearLower Extremity Dialysis AccessData: AVGThe mid-thigh loop arteriovenous graft: patient selection, technique, andresults Scott, et al Am Surg 2006Attempt to avoid infection – mid-thigh access SFA-FV46 graftsPrimary patency 40% one year, 18% 2 yearSecondary patency 68% 1 year, 43% 2 yearInfection 21% requiring graft excisionIschemia 13%Felt this option preserves more proximal vesselsand longer outflow vein for secondary procedures.53