Axillorenal arteriovenous graft: A new approach for dialysis access

As the population requiring hemodialysis grows, it becomes increasingly common to encounter patients with limited options for vascular access. Because inability to secure vascular access is a life-threatening problem, it is important to consider all possible options in each patient. We report a new...

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Bibliographic Details
Published in:Journal of vascular surgery 2004-08, Vol.40 (2), p.379-380
Main Authors: Karp, Seth J, Hawxby, Alan, Burdick, James F
Format: Article
Language:English
Subjects:
Arteriovenous Shunt, Surgical - methods
Axillary Artery - surgery
Biological and medical sciences
Graft Occlusion, Vascular - surgery
Humans
Kidney Failure, Chronic - therapy
Male
Medical sciences
Middle Aged
Prosthesis Failure
Recurrence
Renal Dialysis - instrumentation
Renal Veins - surgery
Reoperation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Summary:As the population requiring hemodialysis grows, it becomes increasingly common to encounter patients with limited options for vascular access. Because inability to secure vascular access is a life-threatening problem, it is important to consider all possible options in each patient. We report a new arteriovenous grafting procedure in which the left renal vein is used for outflow in a patient with multiple venous occlusions. Patency of the graft continues 18 months after placement. This graft carries acceptable morbidity, and can be revised. Consideration of this graft is appropriate in selected patients.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2004.03.026