Vascular Graft Solutions has reported the first clinical use of its Frame external support technology in high-flow arteriovenous (AV) fistulas. The first five cases were performed by Dr. Vladimir Matoussevitch from Cologne University Hospital in Germany.
The braided cobalt chrome, kink-resistant external support was designed for autologous vein grafts in bypass or reconstruction of peripheral arterial blood vessels. Mattoussevitch used them to prevent high-flow AV fistula and aneurysmal enlargement complications, which are common in patients undergoing routine autogenous AV fistula access for hemodialysis. The complications have severe clinical and cosmetic impact.
“High-flow AV access increases cardiac output, which may lead to eccentric left ventricular hypertrophy, a key factor in the development of congestive heart failure in hemodialysis patients,” Mattoussevitch said. “In addition, aneurysmal enlargements are at high risk to develop active bleeding, rupture and infection.”
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