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< Vol. 17 Suppl. 1 | Mar 2016 | Presentations of the 20th European Vascular Access Course 2016

Heparin-bonded expanded polytetrafluorethylene grafts in hemodialysis access

Heparin-bonded expanded polytetrafluorethylene grafts in hemodialysis access

J Vasc Access 2016; 17(Suppl. 1): 79 - 84

Article Type: ORIGINAL ARTICLE

DOI:10.5301/jva.5000515

Authors

Oded Olsha, Ilya Goldin, David Shemesh

Abstract

When options for autologous arteriovenous (AV) fistulas have been fully exhausted, AV grafts continue to play an important role in access creation for hemodialysis, offering long-term hemodialysis access that is a better alternative to central vein catheters. The drawbacks of AV grafts are their poor patency, infection and higher cost. Their main advantages are that they are widely available, are easy to create, and mature early. In the context of the “Fistula First” initiative, many patients with low quality veins suffer from fistula failure and non-maturation resulting in prolonged catheter days that would otherwise be prevented by initial creation of an AV graft. Endeavors to improve graft patency include administration of pharmacological agents, changing graft configuration, altering graft biology, and altering the graft surface. In this review, the current status of heparin-bonded AV grafts for hemodialysis is discussed.

Article History

  • • Accepted on 25/12/2015
  • • Available online on 06/03/2016
  • • Published in print on 07/03/2016

Disclosures

Financial support: No grants or funding have been received for this study.
Conflicts of interest: Dr. Shemesh was a paid consultant for W. L. Gore & Associates and Bard Peripheral Vascular, Inc., in 2014.

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Authors

  • Olsha, Oded [PubMed] [Google Scholar]
  • Goldin, Ilya [PubMed] [Google Scholar]
  • Shemesh, David [PubMed] [Google Scholar] , * Corresponding Author (shemeshd@szmc.org.il)

Affiliations

  • Department of Surgery and Hemodialysis Access Center, Shaare Zedek Medical Center, Jerusalem - Israel

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