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

R. J. Heintjes, B. C. Eikelboom*, J. J.F. Steijling, R. W.H. van Reedt Dortland, F. H.W.M. van der Heijden, M. Bastini, Y. van der Graaf, P. J. Blankestijn, J. Vos

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

13 Citations (Scopus)

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 languageEnglish
Pages (from-to)58-63
Number of pages6
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume9
Issue number1
DOIs
Publication statusPublished - 1 Jan 1995

Keywords

  • Haemodialysis
  • Homologous vein
  • Secondary access surgery
  • Secondary vascular access
  • Varivas
  • Vascular access

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