Early use of the Gore-Tex Stretch Graft.
This study reports firstly the overall outcome with the 4-7 mm tapered Gore-Tex Stretch Vascular Graft and secondly the feasibility of early (< 14 days) cannulation hemodialysis in 270 consecutive patients for first-time forearm loop placement. Ninety-six (36%) cases were cannulated within 14 days and 78 cases within 7 days. The overall results with the stretch graft are excellent. The statistically significantly worse outcome with early cannulation was mainly due to a select patient population (as determined by proportional hazards regression analysis) being more acutely ill, urgently needing hemodialysis and having no other options for needle puncture. A prospective randomized study, however, is warranted to fully resolve the safety issue of early cannulation.
Department of Surgery, University of Texas Southwestern Medical Center, Parkland Memorial Hospital, Dallas, USA.
I J
IJ
Dawidson
A
A
Ar'Rajab
L D
LD
Melone
T
T
Poole
D
D
Griffin
R
R
Risser
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis / Q000009:adverse effects / Q000295:instrumentation*; D002404:Catheterization; D002648:Child; D004548:Elasticity; D005240:Feasibility Studies; D005260:Female; D006085:Graft Survival; D006801:Humans; D015994:Incidence; D007239:Infections / Q000453:epidemiology / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D006435:Renal Dialysis; D012189:Retrospective Studies; D015996:Survival Rate; D013927:Thrombosis / Q000453:epidemiology / Q000209:etiology; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene