Successful Early Cannulation of a Superficial Femoral Vein Transposition Angioaccess in a Patient without Other Alternatives


Address correspondence to: Eric Solomon Chemla, Consultant Vascular Access Surgeon, St Georges Hospital Renal Transplant Unit, London SW17 0QT, UK, or e-mail:


Early cannulation of a native fistula is defined by Dialysis Outcomes and Practice Patterns Study and Kidney Disease Outcomes and Quality Initiative as between 2 and 12 weeks postoperatively. We present a case of a patient in whom anatomical and hematological barriers prevented early cannulation graft placement, and in whom temporary catheterization was not feasible as a result of central venous occlusion. Successful cannulation at the fifth postoperative day of a native angioaccess was performed and the reasons and challenges faced behind this choice under the circumstances were discussed.