Citations 1
Superficialization of Deep Arteriovenous Access Procedures in Obese Patients Using Suction-Assisted Lipectomy: A Novel Approach
Krochmal, Daniel J., Rebecca, Alanna M. , Kalkbrenner, Kristen A., Casey, William J., Fowl, Richard J., Stone, William M., Chapital, Alyssa B. , Smith, Anthony A.
Canadian Journal of Plastic Surgery | February 23, 2017 | Volume: 18 | Issue: 1 | Pages: 25-27
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.