[First non-autologous vascular access for hemodialysis: PTFE fistula].
Pedro Jiménez-Almonacida, J V Del Río, Manuel Lasala, Jose Antonio Rueda, Peter Vorwald, Jesús María Fernández Gómez, P Pacheco, Berta Escudero, A. Quintáns
- aUnidad de Cirugía General y del Aparato Digestivo, Fundación Hospital Alcorcón, Madrid. pjimeneza@fhalcorcon.es
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Abstract
INTRODUCTION: Since 1999 to 2003 we have tried to perform an antebraquial "loop" PTFE fistula (PTFEa) as first vascular access for hemodialysis in patients without suitable superficial venous system. MATERIAL AND METHODS: We have performed a prospective study to analyze the results (permeability and complications) with this approach. RESULTS: We could perform 44 PTFEa in 46 consecutive patients (in two cases we used the axillary vein as return vessel). Early failure was 0%. One year primary and secondary permeability were 66% and 90% respectively. CONCLUSIONS: PTFEa is a good solution as first vascular access in patients without a suitable superficil venous system.