Post-Operative Outcomes of Prosthetic Arteriovenous Graft Access in Upper Limb for Hemodialysis Access: Our Centre Experience


  • Sumit Pratap Singh MCI Author
  • Mayank Yadav Assistant Professor, Department of CTVS, JNMC,AMU,Aligarh Author
  • Sheikh Saif Alim Senior Resident, Department of CTVS, JNMC, AMU,Aligarh Author
  • Mohd Azam Haseen Professor, Department of CTVS, JNMC, AMU, Aligarh Author



Keywords, Arteriovenous grafts, Hemodialysis, Outcome


Background:The burden of chronic kidney disease (CKD) and the incidence of end-stage renal disease in India is continuously increasing. For each of these patients, adequate vascular access for dialysis is essential for survival. Access to patient’s blood can come in the form of a catheter, native arteriovenous fistula, or prosthetic graft. It is apparent that the number of new “incident” patients and “prevalent” patients will continue to increase, requiring stable forms of vascular access. An alternative to autologous arteriovenous fistula is placement of a synthetic vascular graft prosthesis. Methods:In this retrospective study we aim to evaluate the outcome of 20 consecutive patients with arteriovenous grafts made for hemodialysis (HD) in patients with failed AVFs with central venous catheter (CVCs) in situ.Results:The mean age of patients in our study was 54 years,the primary patency rate of Arteriovenous Graft (AVGs) were 50% & 30% and secondary patency rates was 80% & 60%at 6month & 1year respectively.Conclusion:AVGs can be used as an alternative to Arteriovenous Fistulas (AVFs) with acceptable results.


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