High ANTI‐PF4/Heparin Antibodies Titer and Thromboses Due to Infection 9 Months After Cessation of Heparin in Hemodialyzed Patient With Heparin‐Induced Thrombocytopenia

Superficialization of an AVF as second stage procedure by means of flap elevation (1) and open lipectomy (2), have been shown to be effective yet invasive options to prepare the cephalic vein for needling in obese patients. Previous attempts of minimally invasive procedures, such as ultrasoundguided liposuction (3), were shown to be associated with wound necrosis and large hematomas. Therefore, based on endoscopic surgery for hernia repair and following the technique of endoscopic basilic vein transposition (4), we developed a superficialization technique to obtain AVF function that allows visual control of the vein during the entire procedure. This minimizes the risk of vein injury and allows identifying other anatomical structures such as superficial fascia and tributaries. Endoscopic surgery for superficialization and closing of tributaries over a deep lying AVF has not been previously described. The novel technique renders revision and superficialization safer, as it reduces the risk of vein injury without prolonging the procedure. Furthermore, this minimally invasive technique avoids long skin scars, and provides excellent functional and aesthetic results.

• Publication year

  2018

• Venue

  Therapeutic apheresis and dialysis

• Publication date

  2018-06-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1111/1744-9987.12699PMID 29856115
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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