June 10, 2026 · Journal of vascular surgery · DOI: 10.1016/j.jvs.2026.05.032

Arteriovenous Grafts Demonstrate Comparable Patency and Faster Maturation Than Basilic Vein Transposition in Octogenarians

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This study investigates the comparative patency rates and maturation times of arteriovenous grafts (AVGs) versus basilic vein transposition (BVT) in patients aged 80 and older requiring hemodialysis access. The findings reveal that while both access types have similar secondary patency rates, AVGs mature significantly faster than BVTs, suggesting that AVGs may be a more beneficial option for older patients without suitable cephalic veins. The results support the implementation of the "Life-Plan" approach from recent KDOQI guidelines for this demographic.

Ahmad N Lambert, Samantha Hopper, Zheng Li, Zachary McClarnon, Jordan Kuhlman, Aiyana Adams, Claire Maza, Andrew Harris, Ryan S Turley

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