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Fully Ringed Polytetrafluoroethylene Graft for Vascular Access in Hemodialysis

Department of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan

For reprint information contact: Chiung Lun Kao, MD Tel: 886 5 362 1000 Fax: 886 5 362 3005 email: sa11421{at}adm.cgmh.org.tw Department of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Chiayi, 6 Sec. West, Chia Pu Road, Putzu City, Chiayi Hsien, Taiwan.

Polytetrafluoroethylene grafts have become the alternative to arteriovenous fistulas for hemodialysis access. The most frequent complication of prosthetic grafts is thrombotic occlusion, caused especially by hypotension after hemodialysis and excessive compression for hemostasis. We describe a technique using the ringed polytetrafluoroethylene graft for constructing an upper arm curved graft to overcome external compression. It yields favorable results.