Management of infected hemodialysis access grafts using cryopreserved human vein allografts

Peter H. Lin, William T. Brinkman, Thomas T. Terramani, Alan B. Lumsden

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Background: One of the most feared complications of dialysis access is prosthetic arteriovenous (AV) graft infection, which is typically treated with AV graft removal followed by a staged dialysis graft placement elsewhere. Such a treatment approach often presents a challenge since many hemodialysis-dependent patients have limited venous access that may preclude a new AV graft or dialysis catheter placement. In this article, we review the management of AV graft infection using in situ cryopreserved human vein allografts. Data sources: Functional and antigenic characteristics as well as the clinical experience of cryopreserved human vein allograft in dialysis access are reviewed. Surgical technique of in situ cryopreserved human allograft placement for infected prosthetic AV graft is also described. Conclusions: Cryopreserved vein allograft is an acceptable graft conduit in difficult hemodialysis access situations. It offers surgeons the ability to deal with the infected graft in one operative procedure with low incidence reinfection and graft patency similar to conventional prosthetic graft replacement.

Original languageEnglish (US)
Pages (from-to)31-36
Number of pages6
JournalAmerican Journal of Surgery
Volume184
Issue number1
DOIs
StatePublished - 2002

Keywords

  • Cryopreserved allograft
  • Infected dialysis graft

ASJC Scopus subject areas

  • Surgery

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