End Stage Renal Disease Clinical Trial
Official title:
A Prospective Randomized Study of Bovine Carotid Artery Biologic Graft and Expanded Polytetrafluoroethylene for Permanent Hemodialysis Access
The investigators propose a randomized study to compare bovine carotid artery (BCA) biologic grafts and expanded polytetrafluoroethylene grafts (ePTFE) for permanent hemodialysis access.
Arteriovenous grafts (AVG) remain reliable substitutes for permanent hemodialysis access in
scenarios that preclude the placement of arteriovenous fistulae. There is scarcity of
evidence to support the current preference of synthetic conduits over biologic grafts in
clinical practice. Advances in the design of AVG's warrant contemporary comparisons between
synthetic and biologic AVG options. This is especially important as biologic conduits may
confer an advantage by virtue of their inherent similarity to the native human vasculature.
The overall goal of this project is to compare one and two year patency (functional, primary,
primary assisted and secondary), complication rates and re-intervention rates between BCA and
standard ePTFE grafts. The investigators hypothesize that vascular patient who will receive
the BCA graft will have improved patency as well as lower complication and re-intervention
rates compared to the standard ePTFE graft.
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