Venous anastomoses for dialysis access--special techniques with the use of E-PTFE vascular prosthesis at the forearm

Suitable veins of great diameter should not be the limitation for the use of E-PTFE prosthesis as a vascular access of second choice for chronic hemodialysis. A sufficient venous drainage has to be attempted inspite of possibly generally bad state of veins regarding the need for retrograde use of vessels. This can be achieved in such cases by careful vascular surgical technique performing multiple-anastomosis or establishing multiple-drainage. By the application of these rules vessels that would otherwise remain unused can be utilized for vascular access in chronic hemodialysis patients. Thus even few months of function after these procedures can be regarded as a success.