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Arteriovenøs fistel med transponeret vena femoralis er en hæmodialyseadgangsvej med potentiale

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Lene Langhoff Clausen & Judith Nielsen

Hjerte-, Lunge- og Karkirurgisk Afdeling T, Odense Universitetshospital Ugeskr Læger 2018;180:V12170940

Reference: 
Ugeskr Læger 2018;180:V12170940
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2-5
Femoral vein transposition arteriovenous fistula for haemodialysis

An upper extremity vascular access (VA) is preferred for haemodialysis, but when the central veins are occluded or all opportunities are exhausted, a lower extremity VA is necessary. Transposition of the superficial femoral vein is a durable arteriovenous fistula and should be the first choice in patients with long expected remaining lifetime. Peripheral arterial disease and heart failure are contraindications, and careful selection of the patients is mandatory. There is a risk of ischaemic steal and an even higher risk of wound complications. It is recommended, that the procedure is centralised.

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