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      Prosthetic Graft Placement Using the Deep Forearm Veins in Hemodialysis Patients: A Preliminary Report

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          When the superficial arm veins are not suitable for the creation of a conventional endogenous arteriovenous (A-V) fistula or the placement of a prosthetic graft in the forearm, the use of the deep forearm veins as an outflow system to construct an A-V graft access seems to be a reasonable alternative. Using this approach, we placed 6 prosthetic grafts in 6 hemodialysis patients in whom conventional methods had failed. Adequate functioning of this ‘deep vein’-type vascular access in these 6 patients has been maintained for 3, 6, 11, 15, 19 and 24 months, respectively, without complications or any need for further interventions. Only one graft failed after 6 months. Our preliminary results indicate that this technique can be used successfully when the superficial forearm veins have been exhausted, thus avoiding the use of upper-arm or axillary veins.

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          Author and article information

          S. Karger AG
          August 2000
          28 July 2000
          : 85
          : 4
          : 346-347
          aSurgical Department of the Aristotelian University of Thessaloniki, and bDepartment of Radiology and cRenal Unit, General Hospital ‘G. Papanikolaou’, Thessaloniki, Greece
          45685 Nephron 2000;85:346–347
          © 2000 S. Karger AG, Basel

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          Page count
          Figures: 1, References: 5, Pages: 2
          Self URI (application/pdf): https://www.karger.com/Article/Pdf/45685
          Short Communication

          Cardiovascular Medicine, Nephrology

          Deep forearm veins, A-V graft, Hemodialysis


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