Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas.
Prosthetic graft seromas is a rare complication that has been traditionally managed with open methods using partial graft replacement and open drainage. We report the first two cases of hemodialysis graft seromas successfully treated with a covered stent. Both patients underwent arteriovenous graft placement from the brachial artery to the axillary vein using a standard wall, tapered 4 to 7 mm polytetrafluoroethylene graft, but developed a seroma at the arterial end of the graft. Unsuccessful attempts were made to treat these seromas with percutaneous and open drainage. In both patients, an 8 mm x 50 mm Wallgraft (Boston Scientific, Natick, Mass) was retrogradely deployed "bareback" at the arterial end of the graft allowing for complete resolution of the graft seromas.
Gargiulo
Nicholas J
NJ
Division of Vascular Surgery, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY 10467, USA. ngargiul@montefiore.org
Veith
Frank J
FJ
Scher
Larry A
LA
Lipsitz
Evan C
EC
Suggs
William D
WD
Benros
Raquel M
RM
D000369:Aged, 80 and over; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D049291:Seroma / Q000209:etiology / Q000628:therapy*; D015607:Stents
D011138:Polytetrafluoroethylene