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Evaluation of heparin-bonded ePTFE grafts for forearm loop vascular access: Comparison between GoreĀ® PROPATEN vascular graft and ACUSEAL vascular graft

Authors :
Makiko Omori
Takeshi Baba
Masamichi Momose
Koji Maeda
Takao Ohki
Eisaku Ito
Kota Shukuzawa
Yoshihiko Chono
Source :
The Journal of Vascular Access. 23:430-435
Publication Year :
2021
Publisher :
SAGE Publications, 2021.

Abstract

Background: This retrospective study evaluates the clinical outcomes of two heparin-bonded expanded polytetrafluoroethylene grafts, PROPATEN and ACUSEAL (W. L. Gore & Associates, Flagstaff, AZ, USA), for forearm loop vascular access. Methods: We prospectively collected data on 60 patients who had undergone arteriovenous graft of the forearm loop type between January 2015 and December 2019. The primary endpoints were graft primary, assisted primary, and secondary patency rates. Secondary endpoints were time to first cannulation and postoperative complications. Results: We enrolled 36 patients in the PROPATEN group (Group P) and 24 in the ACUSEAL group (Group A). All procedures were successful without any 30-day mortality. The median times to first cannulation were 16.5 days and 3 days in Groups P and A, respectively ( p Conclusions: Although the ACUSEAL graft offers the advantage of early cannulation, its primary and assisted primary patency outcomes were inferior to those of the PROPATEN graft. It is important for physicians to be aware of the different characteristics of each graft to select the best option for each patient.

Details

ISSN :
17246032 and 11297298
Volume :
23
Database :
OpenAIRE
Journal :
The Journal of Vascular Access
Accession number :
edsair.doi...........e86b254a2368192ebfe99dda03db326b
Full Text :
https://doi.org/10.1177/1129729821998526