AXILLOCEPHALIC ARTERIOVENOUS GRAFT : A NEW ALTERNATIVE FOR HEMODIALYSIS

Abstract

Different types of vascular accesses are used for patients who need hemodialysis due to chronic renal failure. The most commonly used are arteriovenous fistulae (AVF) which can be classified as autogenic or prosthetic grafts. Prosthetic arteriovenous grafts can be placed into anatomic or, in complicated case, into extra-anatomic locations. In this paper, we present a patient who had the AVF operation four times and the femoral arteriovenous graft operation twice and we report an alternative hemodialysis access, "axillocephalic graft interposition".
Key Words: Arteriovenous graft,
Hemodialysis access, Chronic renal failure.

References

1. Wong V, Ward R, TaylarJ, Selvakumar S, How TV, Bakran A. Factors associated with early failure of arteriovenous fistula for haemodialysis access: Eur J Vase Endovasc Surg 1996;12:207-213.
2. Rubens F, Wellington JL. Brachiocephalic fistula: a useful alternative for vascular access in chronic hemodialysis. Cardiovasc Surg 1993,1:128-130.
3. Ono K, Muto Y, Yano K, Yukizane T. Anterior chest wall axillary artery to contralateral axillary vein graft for vascular access in hemodialysis: Artif Organs 1995; 19; 1233- 1236.
4. Humphries AL Jr, Colborn QL, Wynn JJ. Elevated basilic vein arteriovenous fistula: Am J Surg 1999; 1 77:489-491.
5. Hakagawa Y, Ota K, Sato Y, Fuchinoue S,
6. Teraoka S, Agishi T. Complications in blood access for hemodialysis: Artif Organs
7. ;18:283-288.
8. Polo JR, Sanabia J, Qarcia-Sabrido JL, Luno J, Menarguez C, Echenaguisa A. Brachial-jugular polytetrafluoroethylene fistulas for hemodialysis: Am J Kidney Dis 1990; 16:465- 468.

9. McCann RL. Axillary grafts for difficult hemodialysis access. J Vase Surg 1996,24:457- 461.
10. Polo JR, Vazquez R, Polo J, Sanabia J, Rueda JA, Lopez-Baena JA. Brachiocephalic jump graft fistula: an alternative for dialysis use of elbow crease veins: Am J Kidney Dis 1999;33:904-909.
11. Hill SL, Seeger JM. The arm as an alternative site for vascular access for dialysis in patients with recurrent access failure: South Med J 1985;78:37-40.
12. Fernstrom A, Hylander B, Olofsson P, Swedenborg J. Long and short term patency of radiocephalic arteriovenous fistulas. Acta ChirScand 1988;154:257-259.
13. Haimov M, Burraws L, Baez A, He if M, Slifkin R. Alternatives for vascular access for hemodialysis: experience with autogenous saphenous vein auto grafts and bovine heterografts: surgery 1974;75:447.
14. Oakes D, Spees EK Jr, Light JA, Flye MW. A three year experience using modified bovine arterial heterografts for vascular access in patients requiring hemodialysis. Ann Surg 1978,187:423.