Fístula de membros inferiores como alternativa à exaustão de acessos vasculares superiores: relato de caso e revisão de literatura

Abstract

End-stage chronic kidney disease presents significant therapeutic and social challenges. Vascular access for hemodialysis, its most common modality, stands as a central issue. Arteriovenous fistulas are the current access of choice for most patients, preferably created in the upper limbs. However, these options may become exhausted over the course of treatment. This case report aims to demonstrate the use of a lower-extremity arteriovenous fistula as a viable and durable access alternative in this setting, along with a brief associated literature review.