Early result of arteriovenous graft with deep forearm veins as an outflow in hemodialysis patients.
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.
Won
Taehee
T
Department of Thoracic and Cardiovascular Surgery, Ewha Women's University College of Medicine, Seoul, Korea. wth@mm.ewha.ac.kr
Min
Sun Kyung
SK
Jang
Ji Won
JW
Choi
Song Hee
SH
Choi
Kyu Bok
KB
Han
Jae Jin
JJ
Ahn
Jae Ho
JH
D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D005260:Female; D005542:Forearm; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000627:therapeutic use*; D006435:Renal Dialysis / Q000295:instrumentation*; D016896:Treatment Outcome; D014680:Veins / Q000601:surgery*
D011138:Polytetrafluoroethylene