Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll A novel technique designed to minimize the morbidity of failure of arteriovenous access in hemodialysis patients Benedetto BJ; Madden RL; Kurbanov A; Lipkowitz GSJ Vasc Surg 2002[May]; 35 (5): 1013-5The failure of dialysis access grafts leads to significant morbidity rates in patients with end-stage renal disease. We describe a novel technique for the insertion of new polytetrafluoroethylene graft segments designed to reduce this morbidity rate. Patients found to have significant intragraft deterioration at thrombectomy undergo insertion of a new nonanastamosed graft parallel to the existing graft. At the next failure of the existing graft, the nonanastamosed segment is anastamosed and used immediately for dialysis, obviating the need for a temporary catheter. Thirty patients have undergone this technique, and 89% of those who returned to surgery have had successful anastamosis of their new segments. Two patients were found to have inadequate incorporation of their new segments into the subcutaneous tissue, and one became frankly infected.|*Prosthesis Failure[MESH]|Anastomosis, Surgical/*methods[MESH]|Arm/blood supply/surgery[MESH]|Arteries/surgery[MESH]|Blood Vessel Prosthesis Implantation/*methods[MESH]|Catheters, Indwelling/*adverse effects[MESH]|Humans[MESH]|Kidney Failure, Chronic/*therapy[MESH]|Renal Dialysis/*adverse effects[MESH]|Veins/surgery[MESH] |