Program Book - Keck School of Medicine of USC - University of ...

Replace with interposition graft◦ PTFE• converts access into prosthetic• Increased infection• Decreased patency◦ Saphenous vein a• Series of seven with 18 month follow-up• Six patent, one thrombosisa. Paslinsky G, et al. J Vasc Surg 2011;53:1291-1297 Oversew, wrap with braided metal mesh a◦ 1 patient◦ 15 months- no recurrence Oversew, wrap with polyethyleneterephthalate b◦ Reduce intimal hyperplasia◦ Four patients◦ One required removal for infection◦ No long term follow upa. Grauhan O, et al. Eur J Vasc Endovasc Surg 2001;21:274-5.b. Balaz P, et al. J Vasc Access 2008;9:81-4. Plication without resection a◦ 15 patients◦ No early thrombosis/ graft failure◦ No long term follow-up Surgical staplers b◦ Excess wall resected◦ Staple line oversewn◦ 12 patients, 29 month follow-up◦ Two recurrencea. Lo HY. Ann Acad Med Singapore 2007;36:851-3.b. Pierce GE, et al. Vasc Endovascular Surg 2007;41:55-60140