Srinagar, Feb 05: In a forst of its kind in Jammu and Kashmir, Ahmad Hospital, Srinagar has performed a rare lower limb vascular surgery in a 37-year-old female from Anantnag.
Giving details, the MS of hospital said that a young female suffering from end stage kidney failure had central vein obstruction due to prolonged catheter dialysis through her neck and chest blood vessels.
Patient had no access into her blood stream and was therefore on a temporary groin dialysis catheter which was long standing and infected, hence requiring immediate removal.
As patient had no access to her central blood stream, she was at risk of missing her weekly two dialysis and was bound to have serious medical complications.
She was advised to go for peritoneal dialysis as a desperate resort in view of no vascular access. PD is both expensive and inferior to hemodialysis and cannot be for long maintainance.
Pertinent to mention that patient had multiple failed previous upper arm AVF surgeries.
Giving additional details, the operating CVTS surgeon Dr. M Y Khan said that since the surgical procedure is extremely rare, there is less exposure to it our training. The procedure requires expert surgical maneauveribility and precision. A little of imperfection can lead to sudden cardiovascular standstill or loss of limb and life.
The operation known as Femoral Loop Transposition Path AVF (FLTP-AVF) involves complete SFV harvest from groin to knee, re-routing it under the skin at a seperate place and then redirecting part of lower limb arterial blood flow from another source blood vessel through the transposed conduit. This creates an accessible high blood flow loop circuit for hemodialysis, which can be cannulated multiple times and with much more convenience. The surgery was performed smoothly taking almost 3 hours.
Dr Firdous A Yatoo, managed the specialised regional anesthesia.
Patient has been discharged and has been recieving her hemodialysis routinely since then.
MS further stated that another high end vascular surgery, a “Cross subclavian decompression bypass surgery using an artificial imported conduit” was successfully performed recently.
The hospital is performing all vascular surgeries which are otherwise done only in tertiary hospitals.
