Raymond Hakim
Last active: 6/9/2014

Vascular access for hemodialysis. Patency rates and results of revision.

Palder SB, Kirkman RL, Whittemore AD, Hakim RM, Lazarus JM, Tilney NL
Ann Surg. 1985 202 (2): 235-9

PMID: 4015229 · PMCID: PMC1250879 · DOI:10.1097/00000658-198508000-00015

Over a 4-year interval, 324 arteriovenous conduits were created in 256 patients with end-stage renal disease as access for chronic hemodialysis. These included 154 Cimino fistulae, 163 polytetrafluoroethylene (PTFE) grafts, and seven miscellaneous grafts. Satisfactory patency rates were demonstrated for as long as 4 years for both Cimino fistulae and PTFE grafts by life-table analysis. Failures of Cimino fistulae usually occurred early in the postoperative period, secondary to attempts to use inadequate veins. Thrombosis caused the majority of PTFE graft failures and was generally the result of venous stenosis. Correction of such venous stenosis is mandatory to restore graft patency and can result in prolonged graft survival.

MeSH Terms (16)

Adolescent Adult Aged Arteriovenous Shunt, Surgical Bacterial Infections Female Graft Occlusion, Vascular Humans Kidney Failure, Chronic Male Middle Aged Polytetrafluoroethylene Recurrence Renal Dialysis Reoperation Thrombosis

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