This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Kevin McMullen, MD; Daniel Hayes, MD; John L. Hussey, MD; J. Philip Boudreaux, MD

Arch Surg. 1991;126(10):1303-1305.

Abstract
• Infection combined with additional complications of arteriovenous fistulas is a serious threat to access in patients with upper-extremity polytef (polytetrafluoroethylene) grafts. We present three cases of infected access grafts that were treated with systemic antibiotics, excision of the grafts, and primary anastomosis of the arterialized vein to artery for access salvage. The new arteriovenous fistulas were used immediately, preventing interruptions in hemodialysis regimens. This technique of immediate reconstruction allows the surgeon to utilize the arterialized outflow vein and save other sites of access for future use.

(Arch Surg. 1991;126:1303-1305)

Author Affiliations
From the Department of Surgery, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, La.

Footnotes
Accepted for publication May 5, 1991.

Read before the North American Society for Hemodialysis and Transplantation, Maui, Hawaii, July, 1990.

Reprint requests to Ochsner Clinic, 1514 Jefferson Hwy, New Orleans, LA 70121 (Dr Hayes).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?