Are lower limb arteriovenous grafts the final solution for hemodialysis?

In this study, 14 patients on hemodialysis [HD] therapy for prolonged time [>5 years] with unavailable both upper limbs for various reasons required the use of lower limbs for access construction. PTFE arteriovenous loop constructed between upper thigh femoral vessels was the procedure of choice. The early postoperative complications such as acute ischemia and severe venous hypertension led to an early access loss. It was concluded that lower limb synthetic graft placement may be considered as a final option for hemodialysis access placement with a special consideration to its potentially serious complications

Vascular access for hemodialysis in the pediatric population

In this study, retrospective data of 106 patients with a total of 120 procedures over a seven-year period were collected. Patients were divided into groups according to the procedure that was selected for them. The primary radiocephalic group [52 patients] had 80% primary success rate and 75% long-term patency rate. Brachial artery based group [42 patients] showed 86% primary success rate, 64% long-term patency rate and 15% revision rate. Basilic vein transposition group [nine patients] showed 88% primary success and long-term patency rate