Linked Life Data

9544145

Source:http://linkedlifedata.com/resource/pubmed/id/9544145

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1998-4-23
pubmed:abstractText
Arteriovenous access for long-term hemodialysis in patients with the acquired immunodeficiency syndrome (AIDS) represents a special challenge. Many of these patients are chronic intravenous drug abusers and do not have patent superficial upper-extremity veins available for conventional arteriovenous fistulas. This group of patients is also particularly prone to infections, which contraindicates the use of prosthetic grafts. Over a period of 13 months, five lower-extremity saphenous vein transposition arteriovenous fistulas (SVTAFs) were performed. Four patients had a diagnosis of AIDS at the time of operation; all of these were intravenous drug abusers. Three patients were male, two were female, and their age ranged from 34 to 66 years (mean, 48). Three patients had a SVTAF as their first hemodialysis access, and in two it was performed after multiple failed upper-extremity accesses. Four fistulas remain patent to date, after a mean follow-up of 11 months (range, 4 weeks to 16 months). One fistula thrombosed 4 weeks postoperatively, due to a hematoma that occurred after premature venipuncture for dialysis. There were no other major complications. We conclude that SVTAF is a suitable alternative to the limited hemodialysis venous access sites, especially in the AIDS population.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0003-1348
pubmed:author
pubmed:issnType
Print
pubmed:volume
64
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
338-40
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1998
pubmed:articleTitle
Lower-extremity saphenous vein transposition arteriovenous fistula: an alternative for hemodialysis access in AIDS patients.
pubmed:affiliation
Department of Surgery, Brooklyn Hospital Center, New York, USA.
pubmed:publicationType
Journal Article