Vascular access for hemodialysis. Patency rates and results of revision

Ann Surg. 1985 Aug;202(2):235-9. doi: 10.1097/00000658-198508000-00015.

Abstract

Over a 4-year interval, 324 arteriovenous conduits were created in 256 patients with end-stage renal disease as access for chronic hemodialysis. These included 154 Cimino fistulae, 163 polytetrafluoroethylene (PTFE) grafts, and seven miscellaneous grafts. Satisfactory patency rates were demonstrated for as long as 4 years for both Cimino fistulae and PTFE grafts by life-table analysis. Failures of Cimino fistulae usually occurred early in the postoperative period, secondary to attempts to use inadequate veins. Thrombosis caused the majority of PTFE graft failures and was generally the result of venous stenosis. Correction of such venous stenosis is mandatory to restore graft patency and can result in prolonged graft survival.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Arteriovenous Shunt, Surgical* / adverse effects
  • Arteriovenous Shunt, Surgical* / methods
  • Bacterial Infections / etiology
  • Female
  • Graft Occlusion, Vascular / etiology*
  • Graft Occlusion, Vascular / surgery
  • Humans
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Polytetrafluoroethylene
  • Recurrence
  • Renal Dialysis*
  • Reoperation
  • Thrombosis / complications

Substances

  • Polytetrafluoroethylene