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Angioaccess procedures at one institution over a 4-yearperiod were retrospectively
reviewed to ascertain the frequency of major limb- or life-threatening complications.
A total of 435 angioaccess procedures were performed, including 81 Cimino-Brescia
fistulas, 166 polytetrafluoroethylene grafts, and 111 thrombectomy/revisions. There
were 77 operations for major complications in 53 patients. In addition, five patients
required major vascular repair or emergency thoracotomy for complications of central
hemodialysis line placement.
A significant portion (18% of this series) of thetotal angioaccess caseload of a vascular
surgeon will be utilized in the repair of major complications. The in-hospital (6
patients, or 11%) and longterm (12 patients, or 23%) mortality rates are significant.
Although most complications can be repaired without limb loss and with shunt salvage,
a small percentage (in our study three patients, or 4%) will have debilitating long-term
symptoms.
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Article info
Footnotes
**Presented at the 20th Annual Meeting of the Society for ClinicalVascular Surgery, Orlando, Florida, March 25–29, 1992.
Identification
Copyright
© 1992 Reed Publishing USA. Published by Elsevier Inc.
