Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas

Nicholas J. Gargiulo, Frank J. Veith, Larry A. Scher, Evan C. Lipsitz, William D. Suggs, Raquel M. Benros

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Prosthetic graft seromas is a rare complication that has been traditionally managed with open methods using partial graft replacement and open drainage. We report the first two cases of hemodialysis graft seromas successfully treated with a covered stent. Both patients underwent arteriovenous graft placement from the brachial artery to the axillary vein using a standard wall, tapered 4 to 7 mm polytetrafluoroethylene graft, but developed a seroma at the arterial end of the graft. Unsuccessful attempts were made to treat these seromas with percutaneous and open drainage. In both patients, an 8 mm × 50 mm Wallgraft (Boston Scientific, Natick, Mass) was retrogradely deployed "bareback" at the arterial end of the graft allowing for complete resolution of the graft seromas.

Original languageEnglish (US)
Pages (from-to)216-217
Number of pages2
JournalJournal of Vascular Surgery
Volume48
Issue number1
DOIs
StatePublished - Jul 1 2008

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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