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2011•The Journal of Vascular AccessRequires access

Axillary-Axillary Loop Graft for Hemodialysis Access

Ismail Mohamed, Atul AB Bagul, Tahir M. Doughman, Michael L. Nicholson

Open publisher page 10 citations

Abstract

BACKGROUND: Vascular access in hemodialysis patients can be challenging especially in those with failed primary, secondary and/or tertiary procedures. We present a technique which utilizes the axillary artery and vein to fashion a synthetic loop graft. METHOD: A synthetic arteriovenous loop graft is formed using the axillary artery and vein under general anesthesia following pre-operative contrast venograms. DISCUSSION: This method allows the use of the upper arm vessels, thereby preserving vessels in the legs; it also facilitates immediate access for dialysis. CONCLUSION: The axillary-axillary loop graft is a valuable salvage option in patients with complex vascular access.

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What this paper is about

BACKGROUND: Vascular access in hemodialysis patients can be challenging especially in those with failed primary, secondary and/or tertiary procedures. We present a technique which utilizes the axillary artery and vein to fashion a synthetic loop graft. METHOD: A synthetic arteriovenous loop graft is formed using the axillary artery and vein under general anesthesia following pre-operative contrast venograms. DISCUSSION: This method allows the use of the upper arm vessels, thereby preserving vessels in the legs; it also facilitates immediate access for dialysis. CONCLUSION: The axillary-axillary loop graft is a valuable salvage option in patients with complex vascular access.

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OpenAlex reports 10 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

BACKGROUND: Vascular access in hemodialysis patients can be challenging especially in those with failed primary, secondary and/or tertiary procedures. We present a technique which utilizes the axillary artery and vein to fashion a synthetic loop graft. METHOD: A synthetic arteriovenous loop graft is formed using the axillary artery and vein under general anesthesia following pre-operative contrast venograms. DISCUSSION: This method allows the use of the upper arm vessels, thereby preserving vessels in the legs; it also facilitates immediate access for dialysis. CONCLUSION: The axillary-axillary loop graft is a valuable salvage option in patients with complex vascular access.

Key concepts: Hemodialysis access, Hemodialysis, Loop (graph theory), Medicine, Vascular access, Surgery, Mathematics, Combinatorics

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