Preliminary experience with a cuffed ePTFE graft for hemodialysis vascular access

Scott L. Nyberg, Christopher B. Hughes, Yunuen M. Valenzuela, Bernice M. Jenson, Margaret M. Benda, James T. McCarthy, Sylvester Sterioff, Mark D. Stegall

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

The purpose of this study was to determine graft patency and blood flow rates in recipients of a new cuffed ePTFE graft (Venaflo graft) used for hemodialysis access. A pilot study was conducted with 12 (7 men, 5 women) consecutive patients (age range, 36-76 yr; mean, 65 yr). All patients were recipients of a new cuffed PTFE graft placed for hemodialysis access. Seven were high risk because of a prior history of clotted hemodialysis accesses (1-6; mean, 3.3). Blood flow rates were determined by ultrasound dilution technique at 3 month intervals. One year and 2 year overall graft patency rates were 90.9% and 68.2%, respectively. One graft (high risk, six prior grafts) was lost to thrombosis in the first year; two grafts (one high risk, four prior grafts) were lost to thrombosis in the second year of follow-up. No graft thrombosis resulted from stenosis at the graft-vein anastomosis. Blood flow rates ranged from 550 to 2,110 ml/min (mean, 1,086 ml/min; n = 8) when first measured 3 months after graft placement. Similar flow rates were observed at 12 months (mean, 1,043 ml/min; n = 7) and 24 months (mean, 1,014 ml/min; n = 4) in grafts available for comparison. Dialysis flow rates in excess of 350 ml/min were possible with all patent grafts. A cuffed ePTFE graft provided stable blood flow and satisfactory graft patency during 2 years of follow-up, even in high risk patients with a prior history of vascular access thrombosis.

Original languageEnglish (US)
Pages (from-to)333-337
Number of pages5
JournalASAIO Journal
Volume47
Issue number4
DOIs
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering
  • Biomaterials
  • Biomedical Engineering

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    Nyberg, S. L., Hughes, C. B., Valenzuela, Y. M., Jenson, B. M., Benda, M. M., McCarthy, J. T., Sterioff, S., & Stegall, M. D. (2001). Preliminary experience with a cuffed ePTFE graft for hemodialysis vascular access. ASAIO Journal, 47(4), 333-337. https://doi.org/10.1097/00002480-200107000-00007