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A novel technique designed to minimize the morbidity of failure of arteriovenous access in hemodialysis patients.

Abstract：

:The failure of dialysis access grafts leads to significant morbidity rates in patients with end-stage renal disease. We describe a novel technique for the insertion of new polytetrafluoroethylene graft segments designed to reduce this morbidity rate. Patients found to have significant intragraft deterioration at thrombectomy undergo insertion of a new nonanastamosed graft parallel to the existing graft. At the next failure of the existing graft, the nonanastamosed segment is anastamosed and used immediately for dialysis, obviating the need for a temporary catheter. Thirty patients have undergone this technique, and 89% of those who returned to surgery have had successful anastamosis of their new segments. Two patients were found to have inadequate incorporation of their new segments into the subcutaneous tissue, and one became frankly infected.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Benedetto BJ,Madden RL,Kurbanov A,Lipkowitz GS

doi

10.1067/mva.2002.122890

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

1013-5

issue

5

eissn

0741-5214

issn

1097-6809

pii

S0741521402055647

journal_volume

35

pub_type

杂志文章,评审

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