End Stage Renal Disease Clinical Trial
Official title:
Role of Double Cuffed PTFE Arteriovenous Grafts in Enhancing Long-term Patency in Hemodialysis Patients: a Randomized Controlled Trial
this randomized controlled trial will compare the double vein cuffed synthetic arteriovenous graft to the single vein cuffed synthetic and the non cuffed synthetic as regard to long-term patency of each modality
End-stage renal disease (ESRD) arises from many heterogeneous disease pathways that alter the
function and structure of the kidney irreversibly, over months or years.End-stage renal
disease (ESRD) arises from many heterogeneous disease pathways that alter the function and
structure of the kidney irreversibly, over months or years. Haemodialysis (HD) is a lifeline
therapy for patients with ESRD. A proportion of hemodialysis patients exhaust all options for
permanent vascular access (fistula or graft) in both upper extremities.ePTFE grafts are
easily subjected to graft outflow tract intimal hyperplasia, which may lead to graft outlet
stenosis and graft thrombosis after a certain period of usage. The commonest cause of PTFE
graft failure is intimal hyperplasia (IH) at the venous anastomoses. our study aims to
evaluate the influence of double cuffed ePTFE grafts with autologous vein cuffs on the
long-term patency of dialysis access, and compare the clinical patency and the complications
occurring with the usage of the double cuffed graft to that with standard non cuffed grafts
in chronic renal hemodialysis therapy.
this randomized controlled trial will compare the double vein cuffed synthetic arteriovenous
graft to the single vein cuffed synthetic and the non cuffed synthetic as regard to long term
patency of each modality
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