How to approach problems with prosthetic grafts?
It has been fairly clearly demonstrated that conventional surgery might be slightly more effective and durable than the endovascular approach for prosthetic grafts but surgery is more invasive, with consumption of normal veins at the venous anastomosis [11]. Prosthetic grafts and their complications should be marginal in Europe. However, this is not always the case since for example a proportion of 30% of grafts are reported in the Netherlands, which is less amazing since the recent publication of a Dutch surgical article promoting placement of forearm grafts even when an elbow autologous fistula is feasible [12]. However, this slight superiority of conventional surgery over endovascular techniques for prosthetic grafts is not so clear as many surgeons now dilate stenoses. Respective success rates in native a-v fistulae with isolated stenosis The respective roles for surgery and endovascular techniques might be easier to determine for native fistulae, which should represent the vast ma
