Endoscopic saphenous vein harvesting for hemodialysis vascular access creation in the forearm: A new approach for arteriovenous bridge graft.

  • Takahiro Oto
  • Published 2003 in The journal of vascular access

Abstract

UNLABELLED When superficial arm veins are not suitable to create a native arteriovenous (AV) fistula, an arterio-venous bridge graft by native and/or prosthetic graft is the next best alternative. However, harvesting a native vein, such as the saphenous vein (SV), is invasive and requires a large incision. We report an endoscopic saphenous vein harvesting (ESVH) technique combined with forearm bridge grafting as a new approach for vascular access (VA). METHODS We used the Clearglide, Endoscopic Vessel Harvesting System (Eticon, Inc.) for a less invasive SV harvesting technique. Five patients had a SV graft implant and 10 patients had a polytetrafluoroethylene (PTFE) graft implant in the forearm. RESULTS The SV was harvested easily in all patients in 46 +/- 2 min. There were no wound complications. All SV and PTFE grafts provided satisfactory access within 1 month; however, two declotting procedures in the SV group and five in the PTFE group were required. The PTFE group had two graft infections. CONCLUSIONS It is possible that a combination of ESVH and SV forearm grafting will be one of the new approaches for hemodialysis (HD) access.

Cite this paper

@article{Oto2003EndoscopicSV, title={Endoscopic saphenous vein harvesting for hemodialysis vascular access creation in the forearm: A new approach for arteriovenous bridge graft.}, author={Takahiro Oto}, journal={The journal of vascular access}, year={2003}, volume={4 3}, pages={98-101} }