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[First non-autologous vascular access for hemodialysis: PTFE fistula]. 2004
P Jiménez-Almonacid, and
J V Del Río, and
M Lasala, and
J A Rueda, and
P Vorwald, and
J M Fernández, and
P Pacheco, and
B Escudero, and
A Quintáns
Unidad de Cirugía General y del Aparato Digestivo, Fundación Hospital Alcorcón, Madrid. pjimeneza@fhalcorcon.es
BACKGROUND 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. 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.
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