Arterioarterial prosthetic loop: a new approach for hemodialysis access as an unusual vascular access | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 38, Issue 4, October 2019 PDF (1.98 MB) | ||||
| DOI: 10.4103/ejs.ejs_95_19 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Islam Atta; Ahmed Sawaby; Amr El Abd | ||||
| Abstract | ||||
| Background Vascular access has always been the Achilles repair of hemodialysis. Developments in health care have carried forward patients requiring management who have no veins appropriate for formation of arteriovenous fistula or insert of central venous catheters. This study reports arterioarterial prosthetic loop (AAPL) graft as an effective access for hemodialysis patients with venous occlusion. Objective To assess AAPL graft regarding primary and secondary patency rates and incidence of complications. Patients and methods This study was performed on 20 patients with the end-stage renal diseases. The age of the patients ranged between 47 and 72 years, with a mean age of 57.9 years. Results The primary patency rates were 100, 100, 95, 90, and 80%, respectively, and the secondary patency rates were 100, 100, 100, 95.0, and 95.0% at 1, 3, 6, 9, and 12 months, respectively. Conclusion AAPL can offer an efficient access for hemodialysis in such special group of patients with unsuitable arteriovenous access or having cardiac insufficiency. | ||||
| Keywords | ||||
| arterioarterial loop; Hemodialysis Access; unusual dialysis access; vascular access | ||||
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