Fistula first, graft on arterialized vein second

Objectives Arterovenous grafts (AVGs) present a feasible solution for creating a vascular access in patients who are unsuitable for autogenous fistula (AVF). The aim of this study is to assess the prevention rate of vein stenosis, placing a graft on an arterialized vein (GAV) instead of an anastomiz...

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Bibliographic Details
Published in:Vascular 2015-06, Vol.23 (3), p.265-269
Main Authors: Galzerano, Giuseppe, Giubbolini, Michele, Setacci, Francesco, de Donato, Gianmarco, Sirignano, Pasqualino, Messina, Gabriele, Cappelli, Alessandro, Setacci, Carlo
Format: Article
Language:English
Subjects:
Adult
Aged
Arteriovenous Shunt, Surgical - methods
Cohort Studies
Female
Fistula - surgery
Graft Occlusion, Vascular - surgery
Humans
Kidney Failure, Chronic - surgery
Male
Middle Aged
Renal Dialysis - methods
Treatment Outcome
Veins - surgery
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Summary:Objectives Arterovenous grafts (AVGs) present a feasible solution for creating a vascular access in patients who are unsuitable for autogenous fistula (AVF). The aim of this study is to assess the prevention rate of vein stenosis, placing a graft on an arterialized vein (GAV) instead of an anastomized AVG in a native vein (GNV). Methods This was a cohort study conducted from January 2009 to November 2012. All consecutive patients who underwent AVG in our institution were included. All patients requiring a secondary intervention were also referred to our centre. Patients underwent ultrasound follow up at first and the every month. A Kaplan–Meier method was used; a Log-rank test was used to identify whether significant difference existed between GAV and GNV (p 
ISSN:1708-5381
1708-539X
DOI:10.1177/1708538114542479