[Superficialization of autologous vascular access: an alternative to the use of vascular prostheses and permanent catheters]

Nefrologia. 2009;29(1):67-70. doi: 10.3265/Nefrologia.2009.29.1.67.1.en.full.pdf.
[Article in Spanish]

Abstract

Introduction: We review our experience with autologous veins Superficialization (Spf), to establish the actual possibilities of this kind of vascular access in our area.

Methods: Between January/2001 and January/2008, Spf was performed in 48 patients. Mean follow-up time was 18.8 (0.2-75.7) months. Primary failure rate was recorded; primary and secondary survival were estimated using the Kaplan-Meier method; and its possible associations with several variables were analyzed.

Results: the maturity rate was 97.9%; and the rate of primary failure 2.0%. After Spf, mean time of primary and secondary survival were 65 months and 67 months, respectively. Four vascular thromboses were observed. None of the presurgery variables analyzed (age; sex; diabetes mellitus; ipsilateral central catheter; the number of previous VA attempts; and obesity) were significantly associated with maturity rate, primary or secondary survivals.

Conclusion: the Spf can be a good option alternative to the use of prosthetic grafts or permanent central vascular catheters.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Aged
  • Blood Vessel Prosthesis
  • Catheters, Indwelling
  • Female
  • Humans
  • Male
  • Renal Dialysis*
  • Retrospective Studies
  • Veins / transplantation*