title: Infectious complications of arteriovenous ePTFE grafts for hemodialysis.
abstract: BACKGROUND
  Insufficient venous vasculature disallows autologous arteriovenous fistula creation. In this case an arteriovenous conduit of expanded polytetrafluoroethylene (ePTFE) interponed between artery and vein is used for hemodialysis. Although arteriovenous graft infection is an infrequent complication, infected grafts cannot be used for hemodialysis and can cause infection, sepsis and bleeding. Treatment options remain limited but the general approach is to maintain functional angioaccess and to eradicate infection.
  
  
  OBJECTIVE
  To summarize current knowledge of the prevention and treatment of arteriovenous graft infection.
  
  
  METHODS
  Literature review.
  
  
  CONCLUSIONS
  ePTFE graft present an unreplaceable material used for angioaccess in patients with an insufficient venous vasculature. A number of risk factors causing graft infection is known. Since hemodialysis patients are a high-risk group, an effective strategies for graft infection prevention and early diagnosis should be determined. Among the most important risk factors belong surgical procedure, recurrent venipuncture and other infection disease. The prostheses should be removed when infected, especially in the presence of sepsis. In case of "localized infection", the prostheses can be removed partially only under the condition of careful patient selection and subsequent follow-up.
authors.affiliation: 2nd Department of Surgery, University Hospital Olomouc, Czech Republic.
authors.forename: Petr
authors.initials: P
authors.lastname: Bachleda
authors.forename: Petr
authors.initials: P
authors.lastname: Utikal
authors.forename: Lucie
authors.initials: L
authors.lastname: Kalinova
authors.forename: Martin
authors.initials: M
authors.lastname: Köcher
authors.forename: Marie
authors.initials: M
authors.lastname: Cerna
authors.forename: Milan
authors.initials: M
authors.lastname: Kolar
authors.forename: Josef
authors.initials: J
authors.lastname: Zadrazil
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000295:instrumentation; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D006801:Humans; D011138:Polytetrafluoroethylene; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000517:prevention & control; D006435:Renal Dialysis
chemical_list: D011138:Polytetrafluoroethylene