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Forearm versus upper arm grafts for vascular access.

Publication ,  Journal Article
Gage, SM; Lawson, JH
Published in: J Vasc Access
March 6, 2017

Forearm and upper arm arteriovenous grafts perform similarly in terms of patency and complications. Primary patency at 1 year for forearm arteriovenous grafts versus upper arm grafts ranges from 22%-50% versus 22%-42%, and secondary patency at 1 year ranges from 78%-89% versus 52%-67%), respectively. Secondary patency at 2 years, ranges from 30%-64% versus 35%-60% for forearm and upper arteriovenous graft, respectively. Ample pre-operative planning is essential to improved clinical success and the decision to place a graft at one location versus the other should be based solely on previous access history, physical exam, appropriate venous imaging, and other factors that make up the clinical picture. Operative implant strategies and risk of complications are very similar between the two configurations. Postoperative ischemia due to steal syndrome is a potential complication that requires immediate attention. Utilization of the proximal radial or ulnar artery for inflow for the graft can minimize risk of clinically relevant steal syndrome.

Duke Scholars

Published In

J Vasc Access

DOI

EISSN

1724-6032

Publication Date

March 6, 2017

Volume

18

Issue

Suppl. 1

Start / End Page

77 / 81

Location

United States

Related Subject Headings

  • Vascular Patency
  • Urology & Nephrology
  • Upper Extremity
  • Treatment Outcome
  • Risk Factors
  • Renal Dialysis
  • Prosthesis Design
  • Humans
  • Graft Occlusion, Vascular
  • Forearm
 

Citation

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Gage, S. M., & Lawson, J. H. (2017). Forearm versus upper arm grafts for vascular access. J Vasc Access, 18(Suppl. 1), 77–81. https://doi.org/10.5301/jva.5000688
Gage, Shawn M., and Jeffrey H. Lawson. “Forearm versus upper arm grafts for vascular access.J Vasc Access 18, no. Suppl. 1 (March 6, 2017): 77–81. https://doi.org/10.5301/jva.5000688.
Gage SM, Lawson JH. Forearm versus upper arm grafts for vascular access. J Vasc Access. 2017 Mar 6;18(Suppl. 1):77–81.
Gage, Shawn M., and Jeffrey H. Lawson. “Forearm versus upper arm grafts for vascular access.J Vasc Access, vol. 18, no. Suppl. 1, Mar. 2017, pp. 77–81. Pubmed, doi:10.5301/jva.5000688.
Gage SM, Lawson JH. Forearm versus upper arm grafts for vascular access. J Vasc Access. 2017 Mar 6;18(Suppl. 1):77–81.

Published In

J Vasc Access

DOI

EISSN

1724-6032

Publication Date

March 6, 2017

Volume

18

Issue

Suppl. 1

Start / End Page

77 / 81

Location

United States

Related Subject Headings

  • Vascular Patency
  • Urology & Nephrology
  • Upper Extremity
  • Treatment Outcome
  • Risk Factors
  • Renal Dialysis
  • Prosthesis Design
  • Humans
  • Graft Occlusion, Vascular
  • Forearm