Challenges in vascular access: Lower extremity options

Marta J. Madurska, Jonathan J. Morrison, David B. Kingsmore*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Lower limb vascular access is an alternative option when the upper limb is either not available or desirable. Larger blood vessels, relatively insensate lateral aspect of the thigh, relative comfort during hemodialysis related to not having to use the arms and avoiding upper limb scars are some of the attributes that make the lower limb an attractive option in selected patients. This chapter provides a broad overview of a variety of lower limb access options described in the literature. The selection of the most appropriate lower limb access modality for each patient must involve consideration of the arterial and venous anatomical limitations, with equal importance placed on the ease of use of the cannulatable conduit.

Original languageEnglish
Title of host publicationInnovations in Dialysis Vascular Access Surgery
PublisherNova Science Publishers, Inc.
Number of pages12
ISBN (Electronic)9781536121827
ISBN (Print)9781536121582
StatePublished - 1 Jan 2017


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