Superficialization of deep arteriovenous access procedures in obese patients using suction-assisted lipectomy: A novel approach.

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/m(2), 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.

010020020132014201520162017
Citations per Year

260 Citations

Semantic Scholar estimates that this publication has 260 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Krochmal2010SuperficializationOD, title={Superficialization of deep arteriovenous access procedures in obese patients using suction-assisted lipectomy: A novel approach.}, author={Daniel J. Krochmal and Alanna M Rebecca and Kristen A Kalkbrenner and William J. Casey and Richard J. Fowl and W. M. Stone and Alyssa B. Chapital and Anthony A. Smith}, journal={The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique}, year={2010}, volume={18 1}, pages={25-7} }