Prosthetic Graft Placement Using the Deep Forearm Veins in Hemodialysis Patients: A Preliminary Report.

Autor: Skandalos, Loannis, Chatzibaloglou, Ananias, Tsalisa, Kostas, Tourlis, Theodoros, Kalpakidis, Vasilis, Anagnostopoulos, Theodoros, Dadoukis, Loannis, Sombolos, Kostas
Zdroj: Nephron (00282766); 2000, Vol. 85 Issue 4, p346-347, 2p
Abstrakt: When the superficial arm veins are not suitable for the creation of a conventional endogenous arteriovenous (A-V) fistula or the placement of a prosthetic graft in the forearm, the use of the deep forearm veins as an outflow system to construct an A-V graft access seems to be a reasonable alternative. Using this approach, we placed 6 prosthetic grafts in 6 hemodialysis patients in whom conventional methods had failed. Adequate functioning of this ‘deep vein’-type vascular access in these 6 patients has been maintained for 3, 6, 11, 15, 19 and 24 months, respectively, without complications or any need for further interventions. Only one graft failed after 6 months. Our preliminary results indicate that this technique can be used successfully when the superficial forearm veins have been exhausted, thus avoiding the use of upper-arm or axillary veins.Copyright © 2000 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index