Title

Complications of lower extremity arteriovenous grafts in patients with end-stage renal disease.

Publication/Presentation Date

6-1-2000

Abstract

BACKGROUND: More data are needed to assess lower extremity angioaccess sites for hemodialysis.

METHODS: We did a retrospective review of 843 consecutive hospital records of upper and lower extremity arteriovenous (AV) fistulas from 1992 to 1996.

RESULTS: Lower extremity grafts accounted for 16% (134/843) of patients in this series. Complications occurred in 58 of 134 patients (43%) and were more prevalent in women, blacks, diabetic, and hypertensive patients, but not of statistical significance. Dialysis was done for a mean duration of 13.3 years, with a mean graft patency rate of 13.8 months. The 12-month survival rate of lower extremity AV grafts was 62% (83/134). Complications in the lower extremity AV graft group (58 patients) included infections in 27 patients (46%), thrombosis within 30 days in 16 (28%), pseudoaneurysm in 9 (16%), and graft hemorrhage in 6 (10%).

CONCLUSIONS: There is a decreased patency rate in lower extremity AV grafts.

Volume

93

Issue

6

First Page

593

Last Page

595

ISSN

0038-4348

Disciplines

Emergency Medicine | Medical Specialties

PubMedID

10881776

Department(s)

Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Residents

Document Type

Article