Use of dehydrated human amnion chorion membrane allograft on infected ruptured arteriovenous fistula: revision and closure
Al-Khateeb, M.; Al-Muzakki, Z.; Ftyan, M.; Itani, H.; Istwan, N.; Tettelbach, W.
Journal of Wound Care 28(Sup10): S10-S12
2019
ISSN/ISBN: 0969-0700 PMID: 31600100 Document Number: 699107
Over two million individuals worldwide, with end-stage renal disease (ESRD), depend on dialysis therapy or a kidney transplant for survival. Every haemodialysis patient requires vascular access. The arteriovenous fistula (AVF) is preferred for long-term hemodialysis vascular access due to long-term primary patency rates. Given the limited options for haemodialysis access and placement, preservation of existing AVF sites is always a clinical priority. This case report describes a novel approach to wound closure with the application of dehydrated amnion chorion human membrane (dHACM) at an AVF surgical site known to be complicated with issues of scarring and tissue breakdown. The patient was treated successfully with the imperative preservation of his AVF given that he had few other vascular access options.