Abstract
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.
Original language | English |
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Pages (from-to) | 58-63 |
Number of pages | 6 |
Journal | European Journal of Vascular and Endovascular Surgery |
Volume | 9 |
Issue number | 1 |
DOIs | |
Publication status | Published - 1 Jan 1995 |
Keywords
- Haemodialysis
- Homologous vein
- Secondary access surgery
- Secondary vascular access
- Varivas
- Vascular access