{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:02:09Z","timestamp":1789167729587,"version":"build-2803163510"},"reference-count":17,"publisher":"SAGE Publications","issue":"9_suppl","license":[{"start":{"date-parts":[[2015,3,1]],"date-time":"2015-03-01T00:00:00Z","timestamp":1425168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> The purpose of this study is to report surgical techniques to facilitate cannulation of deep matured veins. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p> 1) Basilic vein tunnel superficialization with rerouting in an anterior tunnel is mandatory for brachial-basilic arteriovenous fistula (AVF), mostly performed in a second surgical stage. The elevation technique, which could necessitate cannulation of the vein through the overlying scar, is not advisable. 2) Femoral vein superficialization is a one-stage surgical operation. Complications of this high-flow AVF are distal ischemia (diabetes and occlusive arterial disease are contraindications), iliac vein stenosis due to intimal hypertrophy and cardiac issues. Nevertheless, we have achieved high long-term patency rates (N = 70). Primary patency rates at 1 and 9 years were 91% \u00b1 4% and 45% \u00b1 11%, respectively. Secondary patency rates at 1 and 9 years were 84% \u00b1 5% and 56% \u00b1 9%, respectively. 3) Lipectomy for superficialization of the forearm radial-cephalic AVF is described for obese patients. Subcutaneous tissues are resected using two transverse incisions. Mobilization of the vein is avoided. At 3 years (N = 49), we recorded 63% \u00b1 8% and 88% \u00b1 7% primary and secondary patency rates, respectively. Anterior transposition of the forearm basilic vein is not necessary when using microsurgery for creation of distal ulno-basilic AVF. 4) VWING is a novel surgically implanted device to help buttonhole technique cannulation. It is too early to draw any conclusion from the preliminary published reports. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Tunnel-transposition and lipectomy are efficient techniques to allow easy needling of deeply situated upper-arm basilic vein, and cephalic vein in obese patients, respectively. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.5000353","type":"journal-article","created":{"date-parts":[[2015,3,9]],"date-time":"2015-03-09T16:28:40Z","timestamp":1425918520000},"page":"S108-S113","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Transposition, Elevation, Lipectomy and V-Wing for Easy Needling"],"prefix":"10.1177","volume":"16","author":[{"given":"Pierre","family":"Bourquelot","sequence":"first","affiliation":[{"name":"Department of Angioaccess Surgery, Clinique Jouvenet, Paris - France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamisse","family":"Karam","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Saint Joseph Hospital, Beirut - Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helia","family":"Robert-Ebadi","sequence":"additional","affiliation":[{"name":"Division of Angiology and Hemostasis, Geneva University Hospitals, Geneva - Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Pirozzi","sequence":"additional","affiliation":[{"name":"University Sapienza, Department of Clinical and Molecular Sciences, Rome - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,8,3]]},"reference":[{"key":"bibr1-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/S0246-0459(06)44091-0"},{"key":"bibr2-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920140709"},{"key":"bibr3-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1007\/BF00858828"},{"key":"bibr4-jva.5000353","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000107"},{"key":"bibr5-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.12.030"},{"key":"bibr6-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2001.115000"},{"key":"bibr7-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.10.039"},{"key":"bibr8-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.01.068"},{"key":"bibr9-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2006.00162.x"},{"key":"bibr10-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.06.003"},{"key":"bibr11-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.03.009"},{"key":"bibr12-jva.5000353","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000217"},{"key":"bibr13-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70010-7"},{"key":"bibr14-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.10.116"},{"key":"bibr15-jva.5000353","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000152"},{"key":"bibr16-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.016"},{"key":"bibr17-jva.5000353","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfs085"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000353","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/jva.5000353","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000353","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T22:29:09Z","timestamp":1740868149000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/jva.5000353"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3]]},"references-count":17,"journal-issue":{"issue":"9_suppl","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.5301\/jva.5000353"],"URL":"https:\/\/doi.org\/10.5301\/jva.5000353","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3]]}}}