The brachioaxillary interposition graft as a successful tertiary vascular access procedure for hemodialysis.

Abstract:

:There is a steady increase in the number of patients with chronic renal insufficiency undergoing long-term hemodialysis, and an increasing number of these patients have exhausted veins due to multiple vascular access and salvage procedures. These patients may be candidates for an alternative vascular access procedure, the brachioaxillary interposition arteriovenous graft. This graft was used in 13 patients with a 100% patency rate and no significant complications at 81 patient months. The results indicate that the large axillary vein, which provides an adequate runoff, and a narrow graft-to-vein inflow angle may lessen the turbulence inherent in the more conventional grafts and may contribute to an improved long-term patency. If these assumptions prove correct, this graft may find more frequent application in the future.

journal_name

Am J Surg

authors

Bittner HB,Weaver JP

doi

10.1016/0002-9610(94)90110-4

subject

Has Abstract

pub_date

1994-06-01 00:00:00

pages

615-7

issue

6

eissn

0002-9610

issn

1879-1883

pii

0002-9610(94)90110-4

journal_volume

167

pub_type

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