As more end-stage renal disease patients require hemodialysis and live longer, many will fail to develop or maintain a functioning upper extremity vascular access. When a patient exhausts vascular access sites in the upper extremities, new fistulas and grafts can be constructed in the lower extremities, thorax, and abdomen as long as a pair of proximate artery and vein provide adequate blood inflow and outflow, respectively. When only a moderate size vein with adequate blood flow provides a conduit to either a patent superior or inferior vena cava, inserting a double-lumen venous hemodialysis catheter can provide temporary or permanent access. We review the literature and report the unusual sites for hemodialysis vascular access and catheter placement.
Vascular Access Work Group.Clinical practice guidelines for vascular access.Am J Kidney Dis.2006; 48(Suppl 1): S248–S273.
2.
SmithG.E., CarradiceD., SamuelN., GohilR., ChetterI.C.Great saphenous vein transposition to the forearm for dialysis vascular access; an under used autologous option?J Vasc Access.2011; 12(4): 354–357.
3.
HuberT.S., OzakiC.K., FlynnT.C., RossE.A., SeegerJ.M.Use of superficial femoral vein for hemodialysis arteriovenous access.J Vasc Surg.2000; 31(5): 1038–1041.
4.
SadaghianlooN., Jean-BaptisteE., MousnierA., DeclemyS., Hassen-KhodjaR.Arm composite autogenous vascular access using the great saphenous vein and the femoral vein: results from a single-centre study.Eur J Vasc Endovasc Surg.2013; 45(2): 183–188.
5.
KapalaA., SzczesnyW., StankiewiczW., HryncewiczW.Vascular access for chronic dialysis using the superficial femoral vein.J Vasc Access.2003; 4(4): 150–153.
6.
GradmanW.S., CohenW., Haji-AghaiiM.Arteriovenous fistula construction in the thigh with transposed superficial femoral vein: our initial experience.J Vasc Surg.2001; 33(5): 968–975.
7.
CerriJ., RamacciottiE., GomesM., Tedeschi FilhoW., PiccinatoC.E.Latero-lateral femoro-femoral arteriovenous fistula: a new surgical approach for hemodialysis patients with no vascular access.Acta Cir Bras.2011; 26(1): 72–76.
8.
ChemlaE.S., MorsyM., AndersonL., MakanjuolaD.Complex bypasses and fistulas for difficult hemodialysis access: a prospective, single-center experience.Semin Dial.2006; 19(3): 246–250.
9.
CalderF.R., ChemlaE.S., AndersonL., ChangR.W.The axillary artery-popliteal vein extended polytetrafluoroethylene graft: a new technique for the complicated dialysis access patient.Nephrol Dial Transplant.2004; 19(4): 998–1000.
10.
JacksonM.R.The superficial femoral-popliteal vein transposition fistula: description of a new vascular access procedure.J Am Coll Surg.2000; 191(5): 581–584.
11.
IlligK.A., OrloffM., LydenS.P., GreenR.M.Transposed saphenous vein arteriovenous fistula revisited: new technology for an old idea.Cardiovasc Surg.2002; 10(3): 212–215.
12.
GorskiT.F., NguyenH.Q., GorskiY.C., ChungH.J., JamalA., MuneyJ.Lower-extremity saphenous vein transposition arteriovenous fistula: an alternative for hemodialysis access in AIDS patients.Am Surg.1998; 64(4): 338–340.
13.
MandelS.R., McDougalE.G.Popliteal artery to saphenous vein vascular access for hemodialysis.Surg Gynecol Obstet.1985; 160(4): 358–359.
14.
GaudianiV.A., PlechaF.R.A technique for the placement of popliteal artery to saphenous vein prosthetic grafts for hemodialysis access.Surg Gynecol Obstet.1980; 150(5): 729–731.
RimH., ShinH.S., JungY.S.Arteriovenous fistula between the posterior tibial artery and great saphenous vein.Kidney Int.2012; 81(9): 925.
17.
ScottJ.D., CullD.L., KalbaughC.A., The mid-thigh loop arteriovenous graft: patient selection, technique, and results.Am Surg.2006; 72(9): 825–828.
18.
FlarupS., HadimeriH.Arteriovenous PTFE dialysis access in the lower extremity: a new approach.Ann Vasc Surg.2003; 17(5): 581–584.
19.
AntoniouG.A., LazaridesM.K., GeorgiadisG.S., SfyroerasG.S., NikolopoulosE.S., GiannoukasA.D.Lower-extremity arteriovenous access for haemodialysis: a systematic review.Eur J Vasc Endovasc Surg.2009; 38(3): 365–372.
20.
CorreaJ.A., de AbreuL.C., PiresA.C., Saphenofemoral arteriovenous fistula as hemodialysis access.BMC Surg.2010; 10: 28.
21.
Pierre-PaulD., WilliamsS., LeeT., GahtanV.Saphenous vein loop to femoral artery arteriovenous fistula: a practical alternative.Ann Vasc Surg.2004; 18(2): 223–227.
22.
ThomsenM.B.A grafted arteriovenous fistula between the subclavian artery and ipsilateral internal jugular vein. Case report.Acta Chir Scand.1983; 149(6): 637–638.
23.
ColìL., DonatiG., GalaverniM.C., Jugular vein-mammary artery fistula after catheterism for hemodialysis: case report.J Vasc Access.2007; 8(2): 115–119.
24.
PuskasJ.D., GertlerJ.P.Internal jugular to axillary vein bypass for subclavian vein thrombosis in the setting of brachial arteriovenous fistula.J Vasc Surg.1994; 19(5): 939–942.
25.
HoballahJ.J., EidG.M., NazzalM.M., SharpW.J., CorsonJ.D.Contralateral internal jugular vein interposition for salvage of a functioning arteriovenous fistula.Ann Vasc Surg.2000; 14(6): 679–682.
26.
MyersJ.L., MukherjeeD.Bypass graft to the contralateral internal jugular vein for venous outflow obstruction of a functioning hemodialysis access fistula.J Vasc Surg.2000; 32(4): 818–820.
27.
ShepherdR.L., IngT.S., MagalhaesR., EconomouS.G.Cervical arteriovenous fistulas for maintenance hemodialysis. A new technique.Nephron.1973; 11(1): 7–10.
28.
Garcia-RinaldiR., VonKochL.The axillary artery to axillary vein bovine graft for circulatory access: surgical considerations.Am J Surg.1978; 135(2): 265–268.
29.
OnoK., MutoY., YanoK., YukizaneT.Anterior chest wall axillary artery to contralateral axillary vein graft for vascular access in hemodialysis.Artif Organs.1995; 19(12): 1233–1236.
30.
FidelmanN., AllenD., BloomAl, Percutaneous interventions in subclavian artery-to-contralateral subclavian vein “necklace” hemodialysis grafts: experience in five patients.J Vasc Interv Radiol.2007; 18(5): 597–601.
Anaya-AyalaJ.E., IsmailN., ReardonM.J., PedenE.K.Endovascular salvage of a right brachial artery-right atrium hemodialysis graft using a covered endoprosthesis.J Vasc Access.2012; 13(4): 520–523.
33.
GlassC., MaevskyV., MasseyT., IlligK.Subclavian vein to right atrial appendage bypass without sternotomy to maintain arteriovenous access in patients with complete central vein occlusion, a new approach.Ann Vasc Surg.2009; 23(4): 465–468.
34.
UtikalP., BachledaP., KoecherM., DracP., CernaM.Axillofemoral fistula for hemodialysis access.Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub.2006; 150(1): 179–183.
JakimowiczT., GalazkaZ., GrochowieckiT., NazarewskiS., SzmidtJ.Vascular access for haemodialysis in patients with central vein thrombosis.Eur J Vasc Endovasc Surg.2011; 42(6): 842–849.
38.
EvansD.C., UptonE.C., LawsonJ.H.Axillary to common iliac arteriovenous graft for hemodialysis access: Case report and review of ‘exotic’ axillary-based grafts.J Vasc Access.2005; 6(4): 192–195.
39.
KarpS.J., HawxbyA., BurdickJ.F.Axillorenal arteriovenous graft: a new approach for dialysis access.J Vasc Surg.2004; 40(2): 379–380.
40.
SucklingR., MorsyM., ChemlaE.S.Right superficial femoral artery to superior vena cava graft using a polytetrafluroethylene graft: a new technique in a complicated dialysis access patient.Nephrol Dial Transplant.2007; 22(3): 970–971.
41.
ZamaniN., Anaya-AyalaJ.E., IsmailN., PedenE.K.Left common iliac artery to inferior vena cava abdominal wall arteriovenous graft for hemodialysis access.J Vasc Surg.2012; 56(2): 489–491.
42.
DodsonT.F., StewartM.T., MartinL.G.Polytetrafluoroethylene aorta-vena cava graft for hemodialysis: report of a case.J Vasc Surg.1993; 17(4): 759–761.
43.
BellowsP.H., Anaya-AyalaJ.E., CheemaZ.F., DaviesM.G., LumsdenA.B., PedenE.K.Combined femoral vein transposition and iliac vein to suprarenal vena cava bypass as a last resort dialysis access.Ann Vasc Surg.2011; 25(2): 264e5–8.
44.
SalgadoO.J., TeránN.A., RosalesB., GarciaR.A.Subcutaneous transposition of the superficial femoral artery for arterioarterial hemodialysis: technique and results.Artif Organs.2008; 32(12): 969–973.
45.
ZanowJ., KrugerU., PetzoldM., PetzoldK., MillerH., ScholzH.Arterioarterial prosthetic loop: a new approach for hemodialysis access.J Vasc Surg.2005; 41(6): 1007–1012.
46.
SamahaA., SalmanL., AsifA.Arterial angioplasty to treat hand ischemia in a radial-cephalic fistula.Semin Dial.2009; 22(5): 561–563.
RaoT.L., WongA.Y., SalemM.R.A new approach to percutaneous catheterization of the internal jugular vein.Anesthesiology.1977; 46(5): 362–364.
49.
BambauerR., InnigerR., PirrungK.J., SchielR., DahlemR.Complications and side effects associated with large-bore catheters in the subclavian and internal jugular veins.Artif Organs.1994; 18(4): 318–321.
50.
CoronelF., HerreroJ.A., MateosP., IllescasM.L., TorrenteJ., del ValleM.J.Long-term experience with the Thomas shunt, the forgotten permanent vascular access for haemodialysis.Nephrol Dial Transplant.2001; 16(9): 1845–1849.
KrönungG.Long-term experience with the thomas shunt.Nephrol Dial Transplant.2001; 16(9): 1762–1763.
53.
BommerJ.Long-term experience with Thomas shunt.Nephrol Dial Transplant.2001; 16(9): 1761–1762.
54.
YatesP.J., BarlowA.D., JohariY., DoughmanT., NicholsonM.L.The great saphenous vein for central venous access and haemodialysis.Nephrol Dial Transplant.2009; 24(1): 208–210.
55.
RajagopalanP.R., FittsC.T.Use of Allen Brown shunt between profunda femoris artery and long saphenous vein for hemodialysis access.Am Surg.1978; 44(4): 226–228.
SmithT.P., RyanJ.M., ReddanD.N.Transhepatic catheter access for hemodialysis.Radiology.2004; 232(1): 246–251.
65.
YounesH.K., PettigrewC.D., Anaya-AyalaJ.E., Transhepatic hemodialysis catheters: functional outcome and comparison between early and late failure.Am J Vasc Interv Radiol.2011; 22(2): 183–191.
66.
MeranzeS.G., McLeanG.K., SteinE.J., JordanH.A.Catheter placement in the azygos system: an unusual approach to venous access.Am J Roentgenol.1985; 144(5): 1075–1076.
67.
PatelN.H.Percutaneous translumbar placement of a Hickman catheter into the azygous vein.Am J Roentgenol.2000; 175(5): 1302–1304.
68.
AllonM., RobbinM.L.Increasing arteriovenous fistulas in hemodialysis patients: problems and solutions.Kidney Int.2002; 62(4): 1109–1124.
69.
AllonM., OrntD.B., SchwabS.J.; Hemodialysis (HEMO) Study Group. Factors associated with the prevalence of arteriovenous fistulas in hemodialysis patients in the HEMO study.Kidney Int.2000; 58(5): 2178–2185.
70.
LewS.Q., NguyenB.N., IngT.S.Hemodialysis vascular access construction in the upper extremity: a review.J Vasc Access.2015; 16(2): 87–92.
