Low-Flow Polytetrafluoroethylene Accesses: Ultrasound Surveillance and Preemptive Interventions Ensure Long-Term Patency
Author(s) -
Jan Malík,
Vladimír Tuka,
Eva Chytilova,
Magdaléna Mokrejšová,
Martin Mašek,
Marcela Slavíková
Publication year - 2010
Publication title -
kidney and blood pressure research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.806
H-Index - 51
eISSN - 1423-0143
pISSN - 1420-4096
DOI - 10.1159/000316702
Subject(s) - medicine , percutaneous , ultrasound , stenosis , thrombosis , psychological intervention , radiology , hemodialysis access , surgery , cardiology , hemodialysis , vascular access , psychiatry
Vascular accesses (especially polytetrafluoroethylene grafts) with a permanently low flow (Qa <600 ml/min) are prone to thrombosis and thus have short patency. The reason for a permanently low flow is usually medial calcinosis of the inflow artery in diabetics. We retrospectively studied the long-term patency of low-flow grafts with careful ultrasound surveillance and preemptive interventions.
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