Abstract

Ali et al1 have reported on a large series of prosthetic hemodialysis arterioarterial loop grafts constructed in complex and high-risk patients, with remarkable results. It is counterintuitive that the patency of relatively long prosthetic grafts in a limited outflow bed would be favorable, and also that relatively low-flow conduits with resistant outflow can achieve efficient dialysis. Indeed, their primary patency rate of 87.5% at 1 year and 62.5% at 2 years is far superior to most current reports for standard arteriovenous dialysis grafts.

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