| Autor: |
Krochmal DJ; Department of Surgery;, Rebecca AM, Kalkbrenner KA, Casey WJ, Fowl RJ, Stone WM, Chapital AB, Smith AA |
| Jazyk: |
angličtina |
| Zdroj: |
The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique [Can J Plast Surg] 2010 Spring; Vol. 18 (1), pp. 25-7. |
| DOI: |
10.1177/229255031001800112 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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