Arteriovenous fistulas for dialysis using modified bovine arteries

R. T. Rolley, S. Sterioff, G. M. Williams

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Abstract

Arteriovenous fistulas were created on 21 occasions in 18 patients using an interposed segment of processed bovine carotid artery. In 18 fistulas, there were loops in the femoral region, and in 3, they were created in the forearm. 17 Of 21 fistulas developed a useful patency, with useful patency being achieved in 16 of the 18 patients. This patency is impressive, since it provided life saving vascular access in these patients who previously had had failures of multiple standing shunts or fistulas. However, there was a high incidence of complications, with 17 of 21 fistulas developing some complication. 10 Fistulas spontaneously occluded, but flow was restored in 6. 7 Significant infections occurred in fistulas of the thigh, with 1 patient eventually dying from complications. In 2 patients, major hematomas developed, and in 6 patients, false aneurysms developed, 4 of these false aneurysms being clearly associated with infection. Venograms were useful in the arm for demonstrating patency of the vein to be used for the arteriovenous fistula. The bovine interposed segment is a useful alternative in patients with difficult vascular access problems for hemodialysis but should be reserved only for such patients.

Original languageEnglish (US)
Pages (from-to)700-704
Number of pages5
JournalSurgery Gynecology and Obstetrics
Volume142
Issue number5
Publication statusPublished - 1976

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ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Surgery

Cite this

Rolley, R. T., Sterioff, S., & Williams, G. M. (1976). Arteriovenous fistulas for dialysis using modified bovine arteries. Surgery Gynecology and Obstetrics, 142(5), 700-704.