Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Print this page Email this page Users Online: 575
CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 1  |  Page : 60-62

Lower limb vascular access for maintenance hemodialysis patients – A case series


Department of Nephrology, Srivenkateswara Institute of Medical Sciences, Tirupathi, Andhra Pradesh, India

Correspondence Address:
Dr. K Siva Parvathi
Assistant Professor, Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupathi, Andhra Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JDRNTRUHS.JDRNTRUHS_47_19

Rights and Permissions

The vascular access is considered as Achilles heel of a successful maintenance hemodialysis (MHD) program. Although it is ideal to initiate the dialysis through arteriovenous fistula (AVF), many of the patients start initiation through central venous catheters which predispose them later to multiple access complications. Also, as the elderly population has poor vasculature to support AVF, many of them end up exhausting all upper limb vascular accesses. As a result, there are a group of MHD patients with difficulty in using upper limb vascular access secondary to multiple access failure who are otherwise unable to switch to another modality of renal replacement therapy completely and have to rely on lower limb vascular access as a last resort to sustain life. We would like to share our experience on lower limb vascular access in our institute. The three types of lower limb vascular accesses include lower limb AVF, lower limb AV graft, and tunneled femoral vein catheter as illustrated in three patients with a successful utilization in sustaining life.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed44    
    Printed0    
    Emailed0    
    PDF Downloaded15    
    Comments [Add]    

Recommend this journal