Document Detail


The results of denatured homologous vein grafts as conduits for secondary haemodialysis access surgery.
MedLine Citation:
PMID:  7664014     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 year 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.
Authors:
R J Heintjes; B C Eikelboom; J J Steijling; R W van Reedt Dortland; F H van der Heijden; M Bastini; Y van der Graaf; P J Blankestijn; J Vos
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  9     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  1995 Jan 
Date Detail:
Created Date:  1995-10-12     Completed Date:  1995-10-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  58-63     Citation Subset:  IM    
Affiliation:
Department of Surgery, University Hospital Utrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Arteriovenous Shunt, Surgical / methods*
Blood Vessel Prosthesis*
Brachial Artery / surgery
Female
Follow-Up Studies
Forearm / blood supply
Graft Occlusion, Vascular / epidemiology
Humans
Kidney Failure, Chronic / therapy
Life Tables
Male
Middle Aged
Prosthesis Design
Renal Dialysis*
Retrospective Studies
Risk Factors
Saphenous Vein / transplantation*
Time Factors
Tissue Preservation
Vascular Patency / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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