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Related Experiment Videos

Initial experience with a new prosthetic angioaccess device.

R N Garrison, R L Wathen, K E Richardson

    Southern Medical Journal
    |February 1, 1985
    PubMed
    Summary
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    The Hemasite angioaccess system shows promise for end-stage renal disease patients needing long-term vascular access. While facing challenges like infection and thrombosis, patient acceptance is high, especially with upper arm placement.

    Area of Science:

    • Nephrology
    • Vascular Surgery
    • Medical Devices

    Background:

    • Long-term vascular access is crucial for patients with end-stage renal disease (ESRD).
    • Vascular access complications like thrombosis and infection lead to significant morbidity and hospitalizations in ESRD patients.
    • The Hemasite angioaccess system was developed to address these access issues.

    Purpose of the Study:

    • To review the initial clinical experience with the Hemasite angioaccess system.
    • To evaluate the safety, efficacy, and patency rates of the Hemasite system in ESRD patients.

    Main Methods:

    • A retrospective review of 90 Hemasite devices implanted in 77 patients over 24 months.
    • Analysis of implantation indications (emergency, initial, convenience), complications, and patency rates.

    Related Experiment Videos

  • Comparison of outcomes between graftless and grafted Hemasite models, and placement locations.
  • Main Results:

    • The Hemasite system was used for emergency access (39%), initial access (38%), and convenience (23%).
    • Device failure was attributed to 28 infections and 18 thromboses; no device-related deaths occurred.
    • One-year patency was 46% overall, with 50% for the grafted model in the upper arm, which showed the highest success rate.

    Conclusions:

    • The Hemasite angioaccess system demonstrates high patient acceptance and potential for ESRD vascular access.
    • While patency rates are currently lower than some alternatives, upper arm placement of the grafted model shows promising results.
    • Further research is needed to optimize Hemasite system performance and compare it directly with established vascular access methods.