A COMPARISON BETWEEN PTFE AND DENATURED HOMOLOGOUS VEIN GRAFTS FOR HAEMODIALYSIS ACCESS : A PROSPECTIVE RANDOMISED MULTICENTRE TRIAL
作者： PJ Bosman , PJ Blankestijn , Y Van der Graaf , RJ Heintjes , HA Koomans
DOI: 10.1016/S1078-5884(98)80153-6
关键词:
摘要: Objectives: To compare patency and complication rates of polytetrafluoroethylene (PTFE) grafts denatured homologous vein (DHV) for long-term haemodialysis. Design: A prospective randomised multicentre trial. Materials: One hundred thirty-one patients were enrolled between September 1994 April 1997. Sixty-three DHV 68 PTFE implanted in 60 males 71 females. Complications interventions monitored. Patency rates, intervention compared. Results: The mean follow-up was 313 days (range 1–771) 339 (3–909) PTFE. total 54.1 patient-years 63.1 1-year primary 30% 40% respectively. Secondary rate 63% both Most frequent thrombosis. 75 thrombotic events (1.39 per patient-year) occurred 35 (56%) 78 (1.24 py) 36 (53%) grafts. nine infections seen (14%) grafts, whereas 21 20 (29%) ( p =0.08). All but one infected graft could be salvaged with systemic antibiotics. In contrast, surgical necessary = 0.02). For aneurysms, eight two needed revision 0.03). Conclusion: not different. More significantly more or removal because infection. Significantly surgically revised removed aneurysms.
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