Femoral arteriovenous grafts for hemodialysis: using the profunda femoris artery | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 4, October 2025, Pages 1190-1198 PDF (599.21 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.361114.1395 | ||
| Authors | ||
| Hossam Zaghloul* 1; Alaa Eldin Mahmoud2; Marwan Youssry3; Mohammed Ali3 | ||
| 1Vascular Surgery Department, Kasr Alainy, Faculty of Medicine, Cairo University, Cairo, Egypt | ||
| 2Vascular Surgery Department, Kasr Alainy, Faculty of Medicine, Cairo University, Cairo, Egypt. | ||
| 3Department of General and Vascular Surgery, Faculty of Medicine, Cairo University, Egypt. | ||
| Abstract | ||
| Introduction: Dialysis access techniques have advanced significantly in recent years. Traditionally, arteriovenous (AV) fistulas for dialysis access were created in the upper limb (UL). However, groin access is now being considered for patients with exhausted UL options. Objective: Evaluation of the efficacy and safety of the profunda femoris artery as an inflow vessel for angioaccess grafts in hemodialysis cases. Methods: A Quasi-experimental study was conducted on 72 patients diagnosed with chronic renal failure who were no longer candidates for UL AV grafts or fistulas. The study was carried out at a tertiary hospital between October 2023 and February 2025, divided into Group 1 (33 patients) receiving profunda femoris artery grafts and Group 2 (39 patients, control group) using the superficial femoral artery. Cases were followed up at 1, 3, 6, and 12 months post-surgery, assessing graft patency and complications. Results: The mean age of participants was 56±12 years in Group 1 and 58±9 years in Group 2, with female predominance. Ischemic complications were higher among group 2 cases (P=0.01). By the end of the first year after surgery, 25 grafts (75.8%) of Group 1 remained patent vs 27 grafts (69.2%) in Group 2. Diabetes mellitus was found in 71.3% of patients with infections (P=0.01) and in 85.7% of patients with ischemic complications (P=0.001). Of those suffering ischemic complications, five suffered obesity (71.3%) (P=0.006). Conclusion: The profunda femoris artery is an effective and safe inflow vessel for hemodialysis access, offering comparable outcomes to the superficial femoral artery and upper extremity options. | ||
| Keywords | ||
| Arteriovenous grafts; hemodialysis; patency rate; profunda femoris | ||
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