Use of biosynthetic grafts (Omniflow II) for high infection risk haemodialysis vascular access

The Journal of Vascular Access
Julien Al ShakarchiNicholas G Inston

Abstract

Infective complications of patients requiring insertion of arteriovenous grafts for hemodialysis remain a challenge. In particular, patients who have exhausted autologous options and have had recent infective complications relating to alternative dialysis modalities such as peritonitis or central venous catheter-associated bacteremia can pose a significant dilemma. We present a series of challenging cases that represent examples of the use of biosynthetic grafts in patients with on-going infective risks. A review of available literature for the use of the Omniflow II graft in dialysis access is included. Electronic databases were searched for studies assessing the use of the Omniflow II graft for dialysis in accordance with PRISMA published up to 31st March 2014. The primary outcomes for this study were 1-year primary and secondary patency rates. Secondary outcomes were rates of infection and aneurysmal degeneration. Three cases are described that were considered at high risk of infection and all successfully managed with the Omniflow II arteriovenous graft (AVG). None showed signs of infection and all grafts were patent at three months' follow-up. On review of the literature and following strict criteria, four studies were inc...Continue Reading

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Citations

Nov 2, 2019·Annals of Vascular Surgery·Jonathan R De SiqueiraDuncan Parry
Sep 1, 2021·Annals of Vascular Surgery·William EvansSimon Hardy

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Software Mentioned

PRISMA
Omniflow

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