INFECTIOUS COMPLICATIONS OF ARTERIOVENOUS ePTFE GRAFTS FOR HEMODIALYSIS

Bachleda, Petr; Utíkal, P; Kalinová, Lucie; Köcher, Martin; Černá, Marie; Kolář, Milan; Zadrazil, J

doi:10.5507/bp.2010.005

Cited by 26 publications

(27 citation statements)

References 79 publications

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“…Diversely from recent reports any local infection was recorded in both groups in this study (5)(6)(7)(8)(9). All patients underwent hemodialysis in our institutional hemodialysis centre by the same nurse team.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term patency of autogenous saphenous veins vs. PTFE interposition graft for prosthetic hemodialysis access

Uzun¹,

Diken²,

Yalçınkaya³

et al. 2014

Anadolu Kardiyol Derg

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Objective: Prosthetic vascular access is the other choice when the superficial venous system is inadequate to perform a simple radio-cephalic and brachio-cephalic fistula. Methods: This paper reports the outcomes of a prospective cohort study of 54 patients who underwent either saphenous vein (SVI Group, n=29) or PTFE graft (PTFE Group, n=25) interposition surgery for prosthetic hemodialysis access. All patients were evaluated via color Doppler ultrasonography during preoperative course and superficial venous systems of these patients were found inadequate to perform simple radial/ brachial artery-cephalic vein anastomosis. Follow-up was performed for every 6-months period. Kaplan-Meier analysis and Log Rank test was used for estimation and comparison of the patency. Results: In SVI group access failure was observed in 5 of 29 patients (17.2%). In PTFE group, access failure was observed in 13 of the 25 patients (52%). Primary patency rate was 93% in 12 th month and 82% in 24 th month in SVI group while it was 88% in 12 th month and 56% in 24 th month in PTFE group. According to the Kaplan-Meier method, mean time of primary patency was significantly higher in SVI group when compared to PTFE group (33.03±1.32 months vs. 28.16±1.91 months, Log Rank chi-square value: 7.01, df:1, p=0.008). Secondary patency rate was 96% in 12 th month and 93% in 24 th month for SVI group while 96% in 12 th month and 84% in 24 th month for PTFE group. According to the Kaplan-Meier method, mean time of secondary patency was significantly higher in SVI group when compared to PTFE group (34.27±0.95 months vs. 31.16±1.40 months, Log Rank chi-square value: 7.33, df:1, p=0.007). Conclusion: Autologous saphenous vein can be preferably chosen as a prosthetic hemodialysis access graft due its higher primary and secondary patency, lower complication rate and cost when compared with PTFE grafts. (Anadolu Kardiyol Derg 2014; 14: 542-6)

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Section: Discussionmentioning

confidence: 99%

“…PTFE and autologous saphenous vein grafts are commonly used for that purpose. PTFE graft interpositions provide a fast vascular access following the surgery; however, thrombosis and infections may be more frequently seen when compared with autologous saphenous vein (6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

Long-term patency of autogenous saphenous veins vs. PTFE interposition graft for prosthetic hemodialysis access

Uzun¹,

Diken²,

Yalçınkaya³

et al. 2014

Anadolu Kardiyol Derg

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“…Thus, vascular grafts employed for hemodialysis exhibit high rate of infection [60]. The amniotic membrane has anti-bacterial features.…”

Section: Evidencementioning

confidence: 99%

Extract of fetal membrane would inhibit thrombosis and hemolysis

2015

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“…Therefore, surgical intervention should precede the development of complications. [17] Furthermore, early intervention was reported to be important since the risk of spontaneous rupture is a life-threatening complication. [15,18] In our cases, we operated on the aneurysm in the early period before the development of any complications.…”

Section: Discussionmentioning

confidence: 99%