The straight radial-antecubital PTFE angio-access graft in an era of high-flux dialysis.
Straight radial-antecubital polytetrafluoroethylene (PTFE) grafts were placed in 10 older (greater than 55 years) male patients with significant intercurrent diseases who were considered candidates for high-flux dialysis. Graft patency was 90% at 6 months, and suitable flow for high-flux dialysis (greater than 400 mL/minute) could be achieved with all grafts. Shorter dialysis times with no major cardiovascular, hemodynamic, or extremity complications were achieved with this mode of therapy. The principles and practicalities of high-flux dialysis are reviewed. This small series of patients demonstrates that the relatively low resting flow of the straight radial-antecubital PTFE graft should not be a major consideration in the choice of this vascular access procedure in patients being considered for high-flux dialysis. Straight radial-antecubital PTFE grafts preserved both the ulnar collateral to the hand and the brachial artery for later access, yet provided adequate flow in all patients in whom they remained patent.
Pontari
M A
MA
Department of Urology, West Haven Veterans Administration Medical Center, Connecticut 06516.
McMillen
M A
MA
D000714:Anastomosis, Surgical / Q000379:methods; D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D001807:Blood Vessel Prosthesis; D003956:Dialysis; D004550:Elbow / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011884:Radius / Q000098:blood supply*; D006435:Renal Dialysis / Q000379:methods; D014462:Ultrafiltration; D014654:Vascular Patency
D011138:Polytetrafluoroethylene