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Brachial-jugular expanded PTFE grafts for dialysis

D Vega1, J R Polo, J Polo

  • 1Vascular Access Unit, H.G.U. Gregorio Marañón, 28007 Madrid, Spain.

Annals of Vascular Surgery
|October 23, 2001
PubMed

Insights

Brachial-jugular grafts for dialysis offer a viable alternative to complex procedures, demonstrating successful outcomes when performed under local anesthesia in an ambulatory setting. This approach is suitable for patients with subclavian vein stenosis or occlusion.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Dialysis Access

Background:

  • End-stage renal disease necessitates reliable vascular access for hemodialysis.
  • Brachial-jugular grafts present a surgical option for patients requiring chronic dialysis.
  • Subclavian vein stenosis or occlusion poses a challenge for traditional access methods.

Purpose of the Study:

  • To evaluate the long-term outcomes of brachial-jugular grafts in dialysis patients.
  • To assess the feasibility of performing these grafts under local anesthesia in an ambulatory setting.
  • To compare this technique with alternative dialysis access options.

Main Methods:

  • Analysis of 51 patients undergoing brachial-jugular graft placement for dialysis.
  • Inclusion of patient age and diabetic nephropathy as factors.
  • Evaluation of angio-access complications and their management.
  • Utilization of the life-table method for analyzing angio-access duration.
  • All procedures conducted under local anesthesia in an ambulatory surgical setting.

Main Results:

  • Brachial-jugular grafts can be safely performed under local anesthesia.
  • Ambulatory surgical setting is feasible for this procedure.
  • The technique demonstrated effectiveness as an alternative access method.
  • Successful management of complications was observed.

Conclusions:

  • Brachial-jugular grafts are a safe and effective option for dialysis access.
  • Local anesthesia and ambulatory surgery are suitable for this procedure.
  • This method provides an alternative for patients with subclavian vein issues, avoiding more complex interventions.

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