Vascular grafts are made from synthetic materials (PTFE). Commonly vascular graft needs approximately 2 weeks after implantation before it can be cannulated. Although 2 weeks is much better than 6 - 8 weeks for a native arterio-venous fistulae to mature.
It is always the best to prepare a CKD Stage 5 patient way ahead by constructing a native AVF before he/she needs haemodialysis treatment. Always try to avoid central venous catheter at all cost.
Now there are new innovation in vascular graft. With the introduction of "Fleixene" by Atrium the next generation composite vascular graft. It is claimed to be 3 times stronger than most PTFE grafts. The waiting period for cannulation after implantation is cut down to a day or two. This may eliminate the need for central venous catheter insertion all together.
However the downside is the price but surely this is a small price to pay for a whole bunch of positive points.
Check it out the next time you need to have an urgent vascular access for one of your patients......
No comments:
Post a Comment