The straight radial-antecubital PTFE angio-access graft in an era of high-flux dialysis
Straight radial-antecubital polytetrafluoroethylene (PTFE) grafts were placed in 10 older (greater than 55 years) male patients with significant inter-current diseases who were considered candidates for high-flux dialysis. Graft patency was 90% at 6 months, and suitable flow for high-flux dialysis (...
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| Veröffentlicht in: | The American journal of surgery 1991-04, Vol.161 (4), p.450-453 |
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| creator | Pontari, Michel A. McMillen, Marvin A. |
| description | Straight radial-antecubital polytetrafluoroethylene (PTFE) grafts were placed in 10 older (greater than 55 years) male patients with significant inter-current diseases who were considered candidates for high-flux dialysis. Graft patency was 90% at 6 months, and suitable flow for high-flux dialysis (greater than 400 mL/minute) could be achieved with all grafts. Shorter dialysis times with no major cardiovascular, hemodynamic, or extremity complications were achieved with this mode of therapy. The principles and practicalities of high-flux dialysis are reviewed.
This small series of patients demonstrates that the relatively low resting flow of the straight radial-antecubital PTFE graft should not be a major consideration in the choice of this vascular access procedure in patients being considered for high-flux dialysis. Straight radial-antecubital PTFE grafts preserved both the ulnar collateral to the hand and the brachial artery for later access, yet provided adequate flow in all patients in whom they remained patent. |
| doi_str_mv | 10.1016/0002-9610(91)91110-5 |
| format | Article |
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This small series of patients demonstrates that the relatively low resting flow of the straight radial-antecubital PTFE graft should not be a major consideration in the choice of this vascular access procedure in patients being considered for high-flux dialysis. Straight radial-antecubital PTFE grafts preserved both the ulnar collateral to the hand and the brachial artery for later access, yet provided adequate flow in all patients in whom they remained patent.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(91)91110-5</identifier><identifier>PMID: 2035764</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anastomosis, Surgical - methods ; Arteriovenous Shunt, Surgical - methods ; Biological and medical sciences ; Blood Vessel Prosthesis ; Dialysis ; Elbow - blood supply ; Humans ; Male ; Medical sciences ; Middle Aged ; Polytetrafluoroethylene ; Radius - blood supply ; Renal Dialysis - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Ultrafiltration ; Vascular Patency ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><ispartof>The American journal of surgery, 1991-04, Vol.161 (4), p.450-453</ispartof><rights>1991</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-ab4b5f66f0e63a0ea62c71a483c65e89db63c68fd01587323e7e6684a1c8e0633</citedby><cites>FETCH-LOGICAL-c386t-ab4b5f66f0e63a0ea62c71a483c65e89db63c68fd01587323e7e6684a1c8e0633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9610(91)91110-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4450471$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2035764$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pontari, Michel A.</creatorcontrib><creatorcontrib>McMillen, Marvin A.</creatorcontrib><title>The straight radial-antecubital PTFE angio-access graft in an era of high-flux dialysis</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Straight radial-antecubital polytetrafluoroethylene (PTFE) grafts were placed in 10 older (greater than 55 years) male patients with significant inter-current diseases who were considered candidates for high-flux dialysis. Graft patency was 90% at 6 months, and suitable flow for high-flux dialysis (greater than 400 mL/minute) could be achieved with all grafts. Shorter dialysis times with no major cardiovascular, hemodynamic, or extremity complications were achieved with this mode of therapy. The principles and practicalities of high-flux dialysis are reviewed.
This small series of patients demonstrates that the relatively low resting flow of the straight radial-antecubital PTFE graft should not be a major consideration in the choice of this vascular access procedure in patients being considered for high-flux dialysis. Straight radial-antecubital PTFE grafts preserved both the ulnar collateral to the hand and the brachial artery for later access, yet provided adequate flow in all patients in whom they remained patent.</description><subject>Anastomosis, Surgical - methods</subject><subject>Arteriovenous Shunt, Surgical - methods</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis</subject><subject>Dialysis</subject><subject>Elbow - blood supply</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polytetrafluoroethylene</subject><subject>Radius - blood supply</subject><subject>Renal Dialysis - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Ultrafiltration</subject><subject>Vascular Patency</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFu1DAQhi1EVZbCG4DkA0JwcPHEjuNcKqGqhUqVymERR2vijHeNskmxE0TfHi-72iOn8Xi-fzT6GHsD8hIkmE9Sykq0BuSHFj62ACBF_YytwDatAGvVc7Y6IS_Yy5x_lhZAq3N2XklVN0av2I_1lnieE8bNduYJ-4iDwHEmv3RxxoF_W9_ecBw3cRLoPeXMNwnDzONYfjkl5FPg25IWYVj-8H3-Kcf8ip0FHDK9PtYL9v32Zn39Vdw_fLm7_nwvvLJmFtjprg7GBElGoSQ0lW8AtVXe1GTbvjPlZUMvobaNqhQ1ZIzVCN6SNEpdsPeHvY9p-rVQnt0uZk_DgCNNS3ZW1k1rm6qA-gD6NOWcKLjHFHeYnhxIt_fp9rLcXpZrwf3z6eoSe3vcv3Q76k-ho8Ayf3ecY_Y4hISjj_mEaV1L3UDBrg4YFRe_IyWXfaTRUx8T-dn1U_z_HX8BCnaP1Q</recordid><startdate>19910401</startdate><enddate>19910401</enddate><creator>Pontari, Michel A.</creator><creator>McMillen, Marvin A.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19910401</creationdate><title>The straight radial-antecubital PTFE angio-access graft in an era of high-flux dialysis</title><author>Pontari, Michel A. ; McMillen, Marvin A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-ab4b5f66f0e63a0ea62c71a483c65e89db63c68fd01587323e7e6684a1c8e0633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Anastomosis, Surgical - methods</topic><topic>Arteriovenous Shunt, Surgical - methods</topic><topic>Biological and medical sciences</topic><topic>Blood Vessel Prosthesis</topic><topic>Dialysis</topic><topic>Elbow - blood supply</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Polytetrafluoroethylene</topic><topic>Radius - blood supply</topic><topic>Renal Dialysis - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Ultrafiltration</topic><topic>Vascular Patency</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pontari, Michel A.</creatorcontrib><creatorcontrib>McMillen, Marvin A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pontari, Michel A.</au><au>McMillen, Marvin A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The straight radial-antecubital PTFE angio-access graft in an era of high-flux dialysis</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1991-04-01</date><risdate>1991</risdate><volume>161</volume><issue>4</issue><spage>450</spage><epage>453</epage><pages>450-453</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Straight radial-antecubital polytetrafluoroethylene (PTFE) grafts were placed in 10 older (greater than 55 years) male patients with significant inter-current diseases who were considered candidates for high-flux dialysis. Graft patency was 90% at 6 months, and suitable flow for high-flux dialysis (greater than 400 mL/minute) could be achieved with all grafts. Shorter dialysis times with no major cardiovascular, hemodynamic, or extremity complications were achieved with this mode of therapy. The principles and practicalities of high-flux dialysis are reviewed.
This small series of patients demonstrates that the relatively low resting flow of the straight radial-antecubital PTFE graft should not be a major consideration in the choice of this vascular access procedure in patients being considered for high-flux dialysis. Straight radial-antecubital PTFE grafts preserved both the ulnar collateral to the hand and the brachial artery for later access, yet provided adequate flow in all patients in whom they remained patent.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2035764</pmid><doi>10.1016/0002-9610(91)91110-5</doi><tpages>4</tpages></addata></record> |
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| ispartof | The American journal of surgery, 1991-04, Vol.161 (4), p.450-453 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Anastomosis, Surgical - methods Arteriovenous Shunt, Surgical - methods Biological and medical sciences Blood Vessel Prosthesis Dialysis Elbow - blood supply Humans Male Medical sciences Middle Aged Polytetrafluoroethylene Radius - blood supply Renal Dialysis - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Ultrafiltration Vascular Patency Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
| title | The straight radial-antecubital PTFE angio-access graft in an era of high-flux dialysis |
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