1. Early result of arteriovenous graft with deep forearm veins as an outflow in hemodialysis patients
- Author
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Song Hee Choi, Sun Kyung Min, Taehee Won, Kyu Bok Choi, Jae Ho Ahn, Jae Jin Han, and Ji Won Jang
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Dehiscence ,Veins ,Arteriovenous Shunt, Surgical ,Forearm ,Renal Dialysis ,medicine ,Humans ,In patient ,Polytetrafluoroethylene ,Aged ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,surgical procedures, operative ,medicine.anatomical_structure ,Treatment Outcome ,Seroma ,Kidney Failure, Chronic ,Outflow ,Female ,Hemodialysis ,Cardiology and Cardiovascular Medicine ,business ,Perfusion ,Abdominal surgery - Abstract
The purpose of this study was to evaluate the result of arteriovenous (A-V) grafting with the deep forearm veins as an outflow system in hemodialysis patients. Between June 1999 and July 2001, 27 A-V grafts consisting of ePTFE and deep forearm veins were constructed in 26 patients. All patients followed up for assessment of all relevant values, and the median follow-up period was 17.3 months. Seven grafts (26%) failed during the follow-up. The patency rates were 93% and 80% at 3 months and 12 months, respectively. No difference in patency rate was found between males and females, or between diabetics and nondiabetics. Graft-related complications, excluding graft thrombosis, occurred in five patients. These included operative wound dehiscence in two cases, a graft infection, a seroma, and a mild hypoperfusion in the hand. We conclude that the early patency rate of A-V graft using the forearm deep veins as an outflow system is very good and that this technique may be a recommended surgical modality for vascular access in patients with exhausted superficial veins.
- Published
- 2002