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

Journal of Vascular Surgery
Elixène Jean-BaptistePierre Jean Bouillanne

Abstract

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. 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 measures included graft patency, the complication rate, and the frequency and morbidity of secondary procedures after AVALG creation. The Kaplan-Meier method was used to calculate the primary and secondary patency curves. AVALG was constructed as the first access procedure in eight patients: five patients with no suitable vein to construct an adequate angioaccess on the upper limbs, and three patients with elbow and forearm arteritis. The 19 other patients had all had two to five failed prior vascular accesses leading to exhaustion of venous access sites on the upper extremities (18 cases), or a steal syndrome (one case). No postoperative death occurred, but four patients died of causes unrelated to the intervention between the second and the tenth postoperative months. The mean follow-up was 15 months (range, 2-48 months). The primary patency rate at 12 month...Continue Reading

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Citations

Aug 5, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Aneesh Srivastava, Sandeep Sharma
Apr 12, 2013·Nephro-urology Monthly·Jalaladin KhoshnevisAmir Hosein Jalali
Aug 10, 2015·Journal of Vascular Surgery·Alik FarberUNKNOWN Dialysis Access Consortium DAC Study Group
Dec 3, 2013·Journal of Vascular and Interventional Radiology : JVIR·Adi J PriceRobert K Kerlan
Oct 6, 2009·Seminars in Dialysis·Wen-Shin YangChih-Yang Chan
Aug 20, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T JakimowiczJ Szmidt
Jan 5, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N SadaghianlooR Hassen-Khodja
Oct 7, 2016·Journal of Vascular Surgery·Oliver Gale-Grant, Eric S Chemla
Mar 9, 2017·Canadian Journal of Kidney Health and Disease·Jennifer M MacRaeUNKNOWN Canadian Society of Nephrology Vascular Access Work Group
Mar 10, 2015·The Journal of Vascular Access·David ShemeshOded Olsha
May 13, 2014·The Journal of Vascular Access·Miltos K LazaridesNikolaos Schoretsanitis
Mar 2, 2010·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Beom Jin ParkSung Bum Cho
Aug 12, 2009·The Journal of Vascular Access·Jacob A Akoh
May 19, 2021·The Journal of Vascular Access·Megumi ShimasakiAkashi Togawa

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