This study looked at arterioarterial grafts used for hemodialysis patients who had no other access options. The team reviewed data from 514 patients who had these procedures done. They checked how long the new access lasted and looked for early complications.
At six months, about 92% of the grafts were still working well. By one year, 76% remained open. Even at three years, half of the grafts were still functioning. Secondary patency, meaning the graft stayed open even if it needed a fix, was very high at 97% after six months.
Early problems were rare but included infection, clots, bleeding, and swelling. Infection happened in 3% of cases, while bleeding occurred in 9%. Most patients tolerated the procedure well without serious issues or needing to stop using the access.
Experts say these grafts are a safe choice for high-risk patients. They avoid putting too much pressure on the heart. However, more large studies are needed to confirm long-term results and help doctors choose the best surgical option for each person.