upper extremity axillary loop grafts: an opportunity in hemodialysis access

Upper Extremity Axillary Loop Grafts: An Opportunity in Hemodialysis Access

BACKGROUND Dialysis vascular access complications are considered as significant causes of morbidity in chronic hemodialysis patients. OBJECTIVES The aim of the present study was a comparison of axillary loop and straight grafts patency and its complications in hemodialysis access. PATIENTS AND METHODS In this cohort study conducted at Shahid Beheshti Medical University, 77 patients who unde...

Axillary loop grafts for hemodialysis access: midterm results from a single-center study.

PURPOSE This study reports our midterm results with arteriovenous axillary loop grafts (AVALG) and evaluates their role in construction of vascular access for patients on chronic hemodialysis. METHODS The clinical data of 27 patients who underwent construction of an AVALG for hemodialysis access at our institution between July 2002 and December 2006 were analyzed retrospectively. Outcome meas...

Percutaneous Intervention in Axillary Loop-Configured Arteriovenous Grafts for Chronic Hemodialysis Patients

OBJECTIVE The purpose of this study was to evaluate the fistulographic features of malfunctioning axillary loop-configured arteriovenous grafts and the efficacy of percutaneous interventions in failed axillary loop-configured arteriovenous grafts. MATERIALS AND METHODS Ten patients with axillary loop-configured arteriovenous grafts were referred for evaluation of graft patency or upper arm sw...

Silent infection in clotted hemodialysis access grafts.

Thrombotic and infectious complications are frequent causes of hemodialysis vascular access failure and contribute considerably to the cost of care for chronic hemodialysis patients. Although there is clear indication for removal of patent grafts in unresolved bacteremia, there are no guidelines for the management of clotted nonfunctioning grafts. To evaluate for the existence and clinical rele...

Impact of Location and Geometry on Patency and Reintervention of Upper Extremity Arteriovenous Hemodialysis Grafts

Arterioarterial Prosthetic Loop as an Alternative Approach for Hemodialysis Access

In the present study, we performed an arterioarterial prosthetic loop (AAPL) between the femoral artery and deep femoral artery as a new access in patients who did not have adequate vascular conditions for creating an arteriovenous fistula or graft.Between April 2005 and June 2014, 18 patients received AAPL as a vascular access. During the procedure, a polytetrafluoroethylene graft was anastomo...