Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Composite dialysis access grafts

R Didlake1, E Curry, J Bower

  • 1Department of Surgery, University of Mississippi Medical Center, Jackson 39216-4505.

Journal of the American College of Surgeons
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A bio-behavioral model of systemic inflammation at breast cancer diagnosis and fatigue of clinical importance 2 years later.

Annals of oncology : official journal of the European Society for Medical Oncology·2024
Same author

Cell Chromatography: Biocompatible Chromatographic Separation and Interrogation of Microbial Cells.

Microbiology spectrum·2022
Same author

In Situ Observations of Interstellar Pickup Ions from 1 au to the Outer Heliosphere.

Space science reviews·2022
Same author

23&#x2003;Anti-M&#xfc;llerian hormone in polar bears (<i>Ursus maritimus</i>): assay validation and concentrations in relation to sex, age, and season.

Reproduction, fertility, and development·2022
Same author

24&#x2003;Evaluation of an antibody-free approach to identifying faecal peptides for pregnancy detection in polar bears (<i>Ursus maritimus</i>).

Reproduction, fertility, and development·2022
Same author

26&#x2003;Evaluation of polar bear (<i>Ursus maritimus</i>) sperm collection and cryopreservation techniques.

Reproduction, fertility, and development·2022

Composite grafts combining Plasma-TFE and expanded PTFE offer immediate hemodialysis access without compromising long-term performance. This innovation avoids complications associated with temporary catheters during the maturation period.

Area of Science:

  • Vascular Surgery
  • Biomaterials Science
  • Nephrology

Background:

  • Expanded polytetrafluoroethylene (ePTFE) grafts require 7-14 days maturation for hemodialysis access.
  • Temporary percutaneous catheters have significant short and long-term complications.
  • Plasma-TFE (pl-TFE) grafts allow immediate cannulation but have inferior long-term patency.

Purpose of the Study:

  • To develop a composite graft combining immediate access of pl-TFE with the durability of ePTFE.
  • To evaluate the safety and efficacy of these composite grafts compared to conventional ePTFE grafts.

Main Methods:

  • Composite grafts were constructed using 10-12 cm pl-TFE and the remainder ePTFE.
  • Grafts were assessed for immediate cannulation rates and complications.

Related Experiment Videos

  • Compared composite grafts against a cohort of conventional ePTFE grafts for thrombosis, infection, pseudoaneurysm, and patency.

    • Main Results:

    • 30% of composite grafts were cannulated on placement day; 83.8% within 72 hours.
    • No complications arose from early access of the pl-TFE segment.
    • Composite and ePTFE grafts showed no significant differences in thrombosis, infection, or pseudoaneurysm.
    • Event-free patency was comparable (327.7 vs. 346.3 days).

    Conclusions:

    • Composite dialysis access grafts provide immediate cannulation and long-term performance equivalent to conventional ePTFE grafts.
    • This approach is suitable for patients needing immediate dialysis, avoiding temporary catheter use.
    • The composite graft concept offers a viable alternative for hemodialysis access.