TY - JOUR
T1 - Use of a "composite" vascular access graft in a young child on hemodialysis
AU - Lau, Keith K.
AU - Jones, Deborah P.
AU - Gaber, Osama
AU - Nezakatgoo, Nosratollah
PY - 2007/4
Y1 - 2007/4
N2 - Although arterio-venous fistulae (AVF) are currently considered to be the first choice of permanent vascular access for hemodialysis, there are some patients who are not candidates for fistulae and synthetic grafts provide other options. The Thoratec (Vectra™) polyurethane vascular access graft is a new prosthetic graft that may be cannulated within days of insertion due to "self-sealing" properties. However, a tendency for kinking at the suture site due to the strong elasticity of this graft, leading to undesirable complications such as thrombosis, have been reported. We describe a surgical modification of the anastomosis by interposing a segment of expanded polytetrafluoroethylene graft (ePTFE, Venaflo™) between the native vessels and the polyurethane graft sections in a pediatric patient. This modification may overcome the kinking complication associated with use of the polyurethane graft and the resulting thrombosis.
AB - Although arterio-venous fistulae (AVF) are currently considered to be the first choice of permanent vascular access for hemodialysis, there are some patients who are not candidates for fistulae and synthetic grafts provide other options. The Thoratec (Vectra™) polyurethane vascular access graft is a new prosthetic graft that may be cannulated within days of insertion due to "self-sealing" properties. However, a tendency for kinking at the suture site due to the strong elasticity of this graft, leading to undesirable complications such as thrombosis, have been reported. We describe a surgical modification of the anastomosis by interposing a segment of expanded polytetrafluoroethylene graft (ePTFE, Venaflo™) between the native vessels and the polyurethane graft sections in a pediatric patient. This modification may overcome the kinking complication associated with use of the polyurethane graft and the resulting thrombosis.
KW - Hemodialysis
KW - Pediatric
KW - Polyurethane
KW - Vascular access graft
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U2 - 10.1111/j.1542-4758.2007.00167.x
DO - 10.1111/j.1542-4758.2007.00167.x
M3 - Article
C2 - 17403169
AN - SCOPUS:34047214105
SN - 1492-7535
VL - 11
SP - 190
EP - 192
JO - Hemodialysis International
JF - Hemodialysis International
IS - 2
ER -