Femoral vein transposition for arteriovenous hemodialysis access: Improved patient selection and intraoperative measures reduce postoperative ischemia

Improved patient selection and selective intraoperative femoral vein tapering eliminated remedial procedures to correct ischemia in patients undergoing tFV access. Patency rates were excellent despite the liberal use of vein tapering. Transposed FV access should be considered for good risk individuals undergoing their first lower extremity access.