Experience with Dacron Graft Arteriovenous Fistulas for Dialysis Access

Publisher Website
Google Scholar
Abstract
The technique, hemodynamics, and results of a new, more successful Filamentous Velour Dacron graft dialysis fistula between brachial artery and axillary vein are described. Hemodialysis has been successfully instituted in 15/16 patients. One graft was removed for infection and one for overlying skin erosion. There have been five episodes of thrombosis, all with successful restoration to function. After a median ninemonth follow-up, nine of 16 grafts have been complication-free and 13 of 16 remain functional or functioned until the time of death. Hemodynamic studies revealed that with high flows (even 1900 cc/min), there was no evidence of cardiac failure or peripheral “steal.” One patient with low flow (80% of these grafts should provide long-term dialysis access for this difficult patient population.