Regarding access for hemodialysis, which of the following statements is/are incorrect?
belongs to book: ASIR SURGICAL MCQs BANK|Dr. Gharama Al-Shehri|1st edition| Chapter number:14| Question number:22
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belongs to book: ASIR SURGICAL MCQs BANK|Dr. Gharama Al-Shehri|1st edition| Chapter number:14| Question number:22
total answers (1)
C. The best access to place for a patient beginning dialysis is a leg polytetrafluoroethylene (PTFE) graft from the femoral artery to the saphenous vein.
E. The leading complication of PTFE grafts is infection.
DISCUSSION: Some patients do not tolerate hemodialysis because of cardiac difficulties or because they cannot be heparinized for hemodialysis. If a peripheral shunt becomes disconnected, the patient can exsanguinate. This can occur if a cap or clamp is inadvertently removed from a central dialysis catheter. The ideal location for a dialysis fistula or graft is in the upper extremity as far distal as possible, such as with a Brescia-Cimino fistula or a forearm loop graft. The leading complication of PTFE grafts is thrombosis caused by intimal hyperplasia in the venous limb. Infection is the second leading complication with these grafts.
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