Keywords:
Interventional vascular, Kidney, Vascular, Catheter arteriography, CT-Angiography, Ultrasound, Angioplasty, Venous access, Catheters, Fistula, Grafts, Acute
Authors:
A. Almehmi, C. farrington, A. M. K. Abdel Aal; Birmingham, AL/US
DOI:
10.1594/ecr2018/C-3266
Results
All patients in this cohort were black and 2 patients were females.
Two had HeRO grafts in the right thigh; four were on the left.
Common comorbidities included hypertension (67%),
hypotension (50%),
diabetes (67%),
dyslipidemia (67%),
obesity (67%),
and smoking (67%),
Three patients had a functional lower extremity HeRO grafts at one year.
Two patients died within one year (at 220 and 111 days,
respectively); both patients had functional grafts at time of death.
The average number of previous catheters per patient was 5.8 (range 1-12).
The average number of prior arteriovenous accesses was 4 (range 0-8).
One patient developed post-operative hematoma leading to HeRO graft excision and femoral artery repair one day later.
Another patient developed recurrent graft infections necessitating hospitalization for intravenous antibiotics.
Three patients required no endovascular or surgical interventions.
In the patients needing intervention,
the most common interventions were thrombectomy (50%) and surgical graft revision (33%).