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

Autor: 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.
Zdroj: European Journal of Vascular and Endovascular Surgery; January 1995, Vol. 9 Issue: 1 p58-63, 6p
Abstrakt: Objectives:: To determine the value of denatured homologous vein grafts as a conduit for secondary haemodialysis access. Design:: Retrospective clinical study. Setting:: 2 University Hospitals. Materials and Methods:: 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. Main Results:: 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%). Conclusions:: Denatured homologous vein graft is a good alternative in secondary access surgery.
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