Comparison of Arteriovenous Grafts in the Thigh and Upper Extremities in Hemodialysis Patients

摘要: Placement of a thigh graft is an option in hemodialysis patients who have exhausted all upper extremity sites for permanent vascular access. The outcome grafts has been reported only retrospective studies. outcomes 409 placed at single institution during 3.5-yr period were evaluated prospectively, including 63 (15% the total). Information was recorded on surgical complications, dates radiologic and interventions, date failure. technical failure rate approximately twice as high grafts, compared with (12.7 versus 5.8%; P = 0.046). Intervention-free survival similar (median, 3.9 3.5 mo; 0.55). Thrombosis-free also comparable 5.7 5.5 0.94). Cumulative (time to failure) 14.8 20.8 0.62). When failures excluded, median cumulative 27.6 mo 22.5 (P 0.72). frequency angioplasty (0.28 0.57 per year), thrombectomy (1.58 0.94 revision 0.18 total intervention (2.15 1.70 year) between grafts. Access loss result infection tended be higher than (11.1 5.2%; 0.07). In conclusion, placement should considered viable among options access both extremities.