Grafts and Graft Materials as Vascular Substitutes for Haemodialysis Access Construction
Accepted 6 January 2006. published online 20 February 2006.
Abstract
Apart from long-term central venous catheterisation, the insertion of an arteriovenous graft (AVG) remains the only option to allow continued haemodialysis when the patient's superficial veins have been exhausted. Although, expanded PTFE has become the graft of choice for haemodialysis access throughout the world, many other organic or semi-organic materials are currently available for AVG construction. These are less prone to steal syndrome, easier to handle, more resistant to infection and may have similar, if not better, long term patencies.
aDivision of Vascular Surgery and Kidney Transplantation, Policlinico University Hospital Foundation, IRCCS, Via Francesco Sforza 35, 20122 Milan, Italy
bGeneral Surgery and Organ Transplantation, University of Milan, Milan, Italy
Corresponding author. Prof. L. Berardinelli, IRCCS-Policlinico University Hospital Foundation, University of Milan, Via Francesco Sforza 35, 20122 Milan, Italy
Update on Renal Access and Transplantation—one of a series of educational articles edited by Mr Christopher Gibbons, Swansea, UK.