Journal «Angiology and Vascular Surgery» • 

2000 • VOLUME 6 • №3

THE USE OF VASCULAR PTFE ALLOGENIC PROSTHESES AS AN ALTERNATE VASCULAR ACCESS FOR HEMODIALYSIS IN PATIENTS WITH TERMINAL CHRONIC RENAL INSUFFICIENCY

V.V. Savin, V.S. Shtandel

In 5-12% of patients with terminal chronic renal insufficiency vascular access must be performed with the help of polytetrafluoroethylene (PTFE) allogenic prostheses. From September 1996 to May 1999 in the Department of Hemodialysis (Military Veterans Hospital No2) constant vascular access was carried out for 109 patients. In 12 cases (11.0%) PTFE vascular alloprostheses were used. As far as the implementation of allogenic vascular prostheses in dialysis-dependent patients remains disputable, the authors described details of formation and consequent functioning, assessment, benefits and disadvantages of PTFE vascular access compared with traditional arterio-venous fistulas. It was shown that formation of constant vascular access by allogenic ptosthesis for extracorporeal circulation was beneficial in patients with the following risk factors: aged and senile group, diabetic poly angiopathy, individual anatomic deviations, of venous system.

KEY WORDS: vascular access, arterio-venous fistula, PTFE, polytetrafluoroethylene.

P. 84

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