Problems with bovine heterografts for hemodialysis. Recognition, correction, and prevention

American Journal of Surgery
J J RosentalH J Movius

Abstract

1. Careful examination of the peripheral blood vessels is essential in choosing the site for an arteriovenous heterograft. 2. Ischemia of the hand or fingers was avoided by placing upper extremity grafts in the forearm. 3. In the lower extremity, if peripheral pulses are normal, a straight thigh graft is preferred. 4. The recipient vien in the antecubital fossa should be no less than 4 mm in diameter; in the lower extremity the venous anastomosis should be made to the common femoral vein. 5. "Graft hypertension" is a sign of inadequate venous runoff and should be corrected before false aneurysms develop or occlusion of the graft occurs. 6. Most thrombosed grafts can be reopened and should be explored promptly through an incision near the venous end.

References

Dec 1, 1974·American Journal of Surgery·J M Johnson, M R Kenoyer
Jan 1, 1972·Transactions - American Society for Artificial Internal Organs·J L ChinitzC Swartz
Oct 1, 1972·Archives of Surgery·M L DillonC H Dart

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Citations

Sep 1, 1983·World Journal of Surgery·P G Koontz, T S Helling
Apr 1, 1979·The Journal of Surgical Research·Z JamilR W Hobson
Mar 1, 1978·Annals of Surgery·J F BurdickA B Cosimi
Dec 1, 1979·Annals of Surgery·P J Garvin, J E Codd
Jan 1, 1981·Annals of Surgery·S M Lindenauer, R Williams
Nov 1, 1986·Annals of Surgery·H SchanzerE C Peirce
Dec 1, 1979·American Journal of Surgery·G E Bone, M J Pomajzi
Apr 1, 1976·The Journal of Surgical Research·F DagherJ Sadler
Sep 1, 1982·Clinical Radiology·D T ReillyR F Wood
Aug 1, 1989·American Journal of Surgery·H SchanzerE C Peirce
Aug 1, 1980·American Journal of Surgery·J J RosentalG G Lemire
Aug 1, 1980·American Journal of Surgery·E A Santiago-Delpin, T Aviles

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