Abstract
Prosthetic devices for dialysis access sometimes have to be implanted in the groin. Infections are frequent there, and when they occur their management is influenced by the patients' need for continued dialysis, and often, by the presence of concomitant diseases. We report implantation of 161 dialysis access devices of various types, all utilizing the femoral vessels. Twenty-seven femoral triangle injections eventually occurred. Both the approach to their treatment and outcome were influenced by mode of presentation, localized infection being most favorable, and fever without localized signs least. The compromise surgical procedures made necessary by the patients' precarious medical status were successful in most instances but overall mortality was 18%, and the amputation rate 22%.
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Selected References
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- Brescia M. J., Cimino J. E., Appel K., Hurwich B. J. Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N Engl J Med. 1966 Nov 17;275(20):1089–1092. doi: 10.1056/NEJM196611172752002. [DOI] [PubMed] [Google Scholar]
- Dobkin J. F., Miller M. H., Steigbigel N. H. Septicemia in patients on chronic hemodialysis. Ann Intern Med. 1978 Jan;88(1):28–33. doi: 10.7326/0003-4819-88-1-28. [DOI] [PubMed] [Google Scholar]
- MAHER J. F., SCHREINER G. E. Cause of death in acute renal failure. Arch Intern Med. 1962 Oct;110:493–504. doi: 10.1001/archinte.1962.03620220085014. [DOI] [PubMed] [Google Scholar]
- Malone J. M., Moore W. S., Campagna G., Bean B. Bacteremic infectability of vascular grafts: the influence of pseudointimal integrity and duration of graft function. Surgery. 1975 Aug;78(2):211–216. [PubMed] [Google Scholar]
- Montgomerie J. Z., Kalmanson G. M., Guze L. B. Renal failure and infection. Medicine (Baltimore) 1968 Jan;47(1):1–32. doi: 10.1097/00005792-196801000-00001. [DOI] [PubMed] [Google Scholar]
- QUINTON W., DILLARD D., SCRIBNER B. H. Cannulation of blood vessels for prolonged hemodialysis. Trans Am Soc Artif Intern Organs. 1960 Apr 10;6:104–113. [PubMed] [Google Scholar]
- SCHRAMEL R. J., CREECH O., Jr Effects of infection and exposure on synthetic arterial prostheses. AMA Arch Surg. 1959 Feb;78(2):271–279. doi: 10.1001/archsurg.1959.04320020093013. [DOI] [PubMed] [Google Scholar]
- SHAW R. S., BAUE A. E. Management of sepsis complicating arterial reconstructive surgery. Surgery. 1963 Jan;53:75–86. [PubMed] [Google Scholar]
- Szilagyi D. E., Smith R. F., Elliott J. P., Vrandecic M. P. Infection in arterial reconstruction with synthetic grafts. Ann Surg. 1972 Sep;176(3):321–333. doi: 10.1097/00000658-197209000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thomas G. I. A large-vessel applique A-V shunt for hemodialysis. Trans Am Soc Artif Intern Organs. 1969;15:288–292. [PubMed] [Google Scholar]