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Trends in Medical Research
  Year: 2014 | Volume: 9 | Issue: 1 | Page No.: 53-57
DOI: 10.3923/tmr.2014.53.57
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Brachial Artery-jugular Vein Graft for Hemodialysis Access: A Preliminary Experience

Mahmoud M. Moawed

Arteriovenous Fistulae (AVF) for hemodialysis access provide good long-term solutions for the patient with end stage renal disease. However, complications are common and require a multimodality approach to maintain their patency and continued use. In the present study, a prospective analysis was made on 15 patients who received a brachial artery-external/internal jugular polytetra-fluoro-ethylene graft for hemodialysis access. The procedure was chosen because of exhaustion of the veins in the upper extremity owing to previous multiple failures. The procedure was successful in 12 cases (80.0%), 2 cases (13.3%) needed revision (they required secondary procedures to maintain graft patency, in the form of multiple thrombolysis and venous angioplasty) and 1 case (6.7%) failed at 16 months postoperatively (she was 61 old hypertensive female who had previous 5 fistulae and developed thrombosis 12 months after intervention, which was treated with clot removal and venous angioplasty. She developed second thrombus at 16 months after intervention catastrophically deteriorated and died before secondary intervention was carried out. The brachial artery-external/internal jugular vein graft represented an important alternative procedure used for vascular access when all upper extremity veins cannot be used.
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How to cite this article:

Mahmoud M. Moawed , 2014. Brachial Artery-jugular Vein Graft for Hemodialysis Access: A Preliminary Experience. Trends in Medical Research, 9: 53-57.

DOI: 10.3923/tmr.2014.53.57






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