Abstract

OTERO REYES, Manuel; DUMENIGO ARIAS, Oscar; GIL HERNANDEZ, Ailette  and  GORDIS AGUILERA, María Victoria. Acceso vascular para hemodiálisis con prótesis de politetrafluoroetileno. Reporte de un caso. AMC [online]. 2008, vol.12, n.2. ISSN 1025-0255.

A case of a patient of the Nephrology service is presented that is integrated to the hemodialysis program since five years ago by presenting an irreversible chronic renal failure, not able for transplant, with multiple conventional vascular accesses carried out (direct and prosthetic) that have failed by progressive and generalized decay of the vascular system (arterial and venous), due to the effect of the associated pain to the renal disease and the triggering ones by the therapeutic intervention. Because of that was surgically intervened and a vascular access at the level of the right inguinal region was performed with the objective to connect the venous system with the arterial one by means of an artificial prosthesis of polytetrafluoroethylene that was implanted in the form of a loop and in superficial planes to facilitate the access to the same one. The use of prosthetic implants of polytetrafluoroethylene in the surgery of vascular access for hemodialysis is a first election alternative when the conventional methods fail.

Keywords : Hemodialysis; catheters indwelling; case-control studies.

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