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July 1980

The Arteriovenous Fistula: Its Construction in the Management of Hemophilia

Author Affiliations

From the University of Health Sciences/Chicago Medical School, Michael Reese Hospital and Medical Center, Chicago (Drs Goldenberg and Goldberg); and the Tulane University School of Medicine, New Orleans (Dr Kerstein).

Arch Surg. 1980;115(7):857-858. doi:10.1001/archsurg.1980.01380070045009

• Arteriovenous fistulae using expanded polytetrafluorethylene (E-PTFE [Gore-Tex]) grafts were constructed in six patients with hemophilia for long-term vascular access where veins had been obliterated. The range of patency was four to 28 months, with a mean of 20 months. All patients had less than 8% level of factor VIII, which may have contributed to fistula patency. This approach was helpful in the management of these patients' conditions.

(Arch Surg 115:857-858, 1980)

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