The results of denatured homologous vein grafts as conduits for secondary haemodialysis access surgery

To determine the value of denatured homologous vein grafts as a conduit for secondary haemodialysis access. Retrospective clinical study. 2 University Hospitals. One-hundred-and-twenty-five patients received 195 grafts over a period of five years. Fifty-six first grafts (45%) functioned without comp...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 1995, Vol.9 (1), p.58-63
Main Authors: Heintjes, R.J., Eikelboom, B.C., Steijling, J.J.F., van Reedt Dortland, R.W.H., van der Heijden, F.H.W.M., Bastini, M., van der Graaf, Y., Blankestijn, P.J., Vos, J.
Format: Article
Language:English
Subjects:
Arteriovenous Shunt, Surgical - methods
Blood Vessel Prosthesis
Brachial Artery - surgery
Female
Follow-Up Studies
Forearm - blood supply
Graft Occlusion, Vascular - epidemiology
Haemodialysis
Homologous vein
Humans
Kidney Failure, Chronic - therapy
Life Tables
Male
Middle Aged
Prosthesis Design
Renal Dialysis
Retrospective Studies
Risk Factors
Saphenous Vein - transplantation
Secondary access surgery
Secondary vascular access
Time Factors
Tissue Preservation
Varivas
Vascular access
Vascular Patency - physiology
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Summary:To determine the value of denatured homologous vein grafts as a conduit for secondary haemodialysis access. Retrospective clinical study. 2 University Hospitals. One-hundred-and-twenty-five patients received 195 grafts over a period of five years. Fifty-six first grafts (45%) functioned without complications throughout the study period of 5.8 years. Primary patency was 57% after 1 years and 25% after 3 years of follow-up. Of the initial grafts, 69 (55%) needed 161 interventions, for thrombosis ( n = 59), stenosis ( n = 43), failure beyond repair ( n = 40), aneurysm ( n = 12), infection ( n = 4), steal syndrome ( n = 1), and other causes ( n = 2). Secondary patency was 76% at 1 year and 52% at 3 years of follow-up. A major advantage of these grafts was the low rate (2.6%) of infection. Aneurysm formation occurred 17 times in 195 grafts (8.7%). Denatured homologous vein graft is a good alternative in secondary access surgery.
ISSN:1078-5884
1532-2165
DOI:10.1016/S1078-5884(05)80226-6