Monday, September 24, 2018

Arteriovenous (AV) graft infection part 6




Total removal of infected arteriovenous graft and placement of  a new access device at a remote site may be required. This involves placement of a temporary dialysis catheter until the infection is resolved and results in losing the original graft site. Because potential access sites are limited, partial graft excision to salvage a site is also an acceptable method for treating graft infection.

Lastly, patient with forearm arteriovenous graft removed may have adequate upper arm veins for an arteriovenous fistula, or another expanded polytetrafluoroethylene graft may also be a consideration, since the time to cannulation can be as short as 24-hours post operatively.

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