Open AccessExpanded Polytetrafluoroethylene Graft Fistula for Chronic Hemodialysis
Author(s) -
Vivian A. Tellis,
William I. Kohlberg,
Dinesh J. Bhat,
Barry Driscoll,
Frank J. Veith
Publication year - 1979
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197901000-00019
Subject(s) - medicine , polytetrafluoroethylene , hemodialysis , neurovascular bundle , surgery , hemodialysis access , dialysis , fistula , arteriovenous fistula , vascular access , materials science , metallurgy
In a retrospective study of 66 PTFE arteriovenous fistulae and 71 BCH arteriovenous fistulae for dialysis access, PTFE had a higher patency rate than BCH at 12 months (62.4 versus 32.5%). PTFE was easier to work with and easier to handle in the face of infection. The lateral upper arm approach to placement of the PTFE graft is desirable in patients who have had multiple previous access procedures because this area is usually free from scarring, is distant from neurovascular structures, and provides a greater length of graft for needle punctures.