RT Journal Article
SR Electronic
A1 Bachleda, Petr
A1 Utikal, Petr
A1 Kalinova, Lucie
A1 Köcher, Martin
A1 Cerna, Marie
A1 Kolar, Milan
A1 Zadrazil, Josef
T1 INFECTIOUS COMPLICATIONS OF ARTERIOVENOUS ePTFE GRAFTS FOR HEMODIALYSIS
JF Biomedical papers
YR 2010
VO 154
IS 1
SP 13
OP 19
DO 10.5507/bp.2010.005
UL https://biomed.papers.upol.cz/artkey/bio-201001-0003.php
AB Background: Insufficient venous vasculature disallows autologous arteriovenous fistula creation. In this case an arteriovenous conduit of expanded polytetrafluoroethylene (ePTFE) interponed between artery and vein is used for hemodialysis. Although arteriovenous graft infection is an infrequent complication, infected grafts cannot be used for hemodialysis and can cause infection, sepsis and bleeding. Treatment options remain limited but the general approach is to maintain functional angioaccess and to eradicate infection.
Aim: to summarize current knowledge of the prevention and treatment of arteriovenous graft infection.
Methods: literature review Conclusions. ePTFE graft present an unreplaceable material used for angioaccess in patients with an insufficient venous vasculature. A number of risk factors causing graft infection is known. Since hemodialysis patients are a highrisk group, an effective strategies for graft infection prevention and early diagnosis should be determined. Among the most important risk factors belong surgical procedure, recurrent venipuncture and other infection disease. The prostheses should be removed when infected, especially in the presence of sepsis. In case of "localized infection", the prostheses can be removed partially only under the condition of careful patient selection and subsequent follow-up.