Transposition of the vena saphena magna in patients with exhausted vascular access possibilities on the upper limbs

Yankovoy A.G.

Moscow Regional Research Clinical Institute named after M.F. Vladimirsky, Moscow, Russia

Vascular access to the forearm in patients undergoing systemic hemodialysis (HD) is one of the key conditions for adequate HD. In situations where it is impossible to create vascular access in the upper limbs and there is total stenosis of the central veins, it is necessary to consider alternative vascular access routes. Formation of femoral arteriovenous fistula (AVF) is one of the possible places for creating such access. The article describes a rather rare type of vascular access, namely, transposition of the vena saphena magna in the form of a linear AVF with anastomosis of the femoral artery in the lower third. The course of the operation is described.

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About the Authors

Andrey G. Yankovoy – Dr.Sci. (Med.), Senior Researcher, Kidney Transplantation Department, Moscow Regional Research Clinical Institute named after M.F. Vladimirsky. Address: 10 Panfilov St., Moscow, 125080; e-mail: 48yankovoy@mail.ru.

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