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[Axillo-axillary access in hemodialysis]

M Dracon1, O Watine, F Pruvot

  • 1Clinique Néphrologique, Hôpital Calmette, CHRU Lille.

Nephrologie
|January 1, 1994
PubMed
Summary

Axillo-axillary angio-access provides a viable alternative for dialysis patients when upper arm veins are unusable. This vascular access method demonstrated excellent patency and tolerance in a small patient cohort.

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Area of Science:

  • Vascular Surgery
  • Nephrology
  • Dialysis Access

Background:

  • Upper arm peripheral veins are often impracticable for dialysis access.
  • Previous arteriovenous fistulas may be thrombosed, necessitating alternative solutions.
  • Axillo-axillary angio-access offers a potential alternative in challenging cases.

Purpose of the Study:

  • To evaluate the efficacy and safety of axillo-axillary angio-access in dialysis patients.
  • To assess the patency rates and clinical outcomes of this specific vascular access.
  • To determine the suitability of axillo-axillary grafts when other options fail.

Main Methods:

  • Retrospective analysis of seven dialysis patients.
  • Inclusion of patients with impracticable upper arm veins or thrombosed fistulas.
  • Utilized bovine or synthetic grafts for axillo-axillary angio-access.

Main Results:

  • Forty-one angio-access procedures were performed in the seven patients.
  • One immediate failure was observed.
  • High patency rates were achieved, lasting until patient death or successful renal transplantation.
  • Excellent clinical and hemodynamic tolerance was reported.

Conclusions:

  • Axillo-axillary angio-access is a successful alternative for hemodialysis.
  • The procedure shows high patency and excellent patient tolerance.
  • It is a valuable option for patients with limited upper limb vascular access.

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