Navigation Links
DMC Harper University Hospital Dialysis Access Center Introduces A Safer, Longer-Lasting Approach to "Vascular Graft" Procedure

DETROIT, July 17, 2013 /PRNewswire-USNewswire/ -- A team of physicians at DMC Harper University Hospital announced yesterday that it has successfully treated several patients with a new high-tech "vascular graft" that significantly reduces the risk of trauma to blood vessels used in connecting patients to the kidney dialysis machines that are essential to protecting their health.


The new vascular graft device – a specially engineered plastic tube that links veins to arteries to form a "bridge" between them as part of maintaining a safe and long-lasting connection between patient and kidney dialysis machine – is especially effective because it doesn't require suturing blood vessels, as happens in more traditional "venous anastomosis" surgical procedures, according to kidney specialists at the DMC.

Recently approved by the FDA for use in the United States, the "Flixene IFG" allows the connection between vein and artery (a key step in creating the "bridge" between patient and dialysis machine) to be made via the specially engineered plastic tube, thus eliminating the need for sewing the blood vessels together.

"The good news for kidney patients is that the use of this new vascular tool means it is no longer necessary to sew the graft into place," said Yevgeniy Rits, M.D., the vascular surgeon who has directed the Harper Dialysis Access Center (DAC) since its creation two years ago.  "Because there is less trauma to the blood vessels involved, there is less chance that the graft will fail."

Until now, the sewn areas of the blood vessels in vascular grafts have often been the areas where they fail.  But because the new Flixene IFG doesn't require any sutures at all, it seems likely to last much longer than the sewn grafts of the past.

"At the Harper DAC, we're encouraged by the fact that we are one of the first kidney care facilities in the country to make this powerful new tool available to patients."

The Dialysis Access Center at Harper University Hospital, unique in Michigan, is now helping more than 600 patients a year to maintain the vascular access required for successful linkage to kidney dialysis machines.

In the Detroit area, where diabetes-linked Chronic Kidney Disease (CKD) is a major public health problem, the two-year-old Harper program is saving an ever-increasing number of lives by providing the tools and specialized care that kidney patients need to maintain safe, healthy access to dialysis over the long term.  With yesterday's announcement, the program "has gained another very important tool," said Dr. Rits.

The problem of creating and then protecting access to dialysis is especially acute in Detroit, where an estimated more than one-half of Michigan's current 12,000 kidney dialysis patients now live.

For these urban dialysis recipients – most of whom develop CKD as a result of severe diabetes, also a major pubic health threat in Detroit – establishing and then protecting a continuing "lifeline" that permits safe blood-flow between the dialysis machine and the patient's cardiovascular system is crucial to a successful outcome.

Because many patients with severe CKD will eventually require a kidney transplant, it's critically important for them to maintain their access – via several types of surgical procedures designed to help create an open pathway in the body between the bloodstream and the dialysis machine – until a healthy new kidney can be obtained from a donor.

At Harper, the Dialysis Access Center (DAC) brings together a wide array of high-tech medical tools and clinical specialists who can combine their skills and knowledge to provide custom-tailored, ongoing care for each individual patient.

"When it comes to providing the best possible care for a kidney patient, the key is being able to coordinate every aspect of that care at a single location," said Rits.

"For many CKD patients, good access to the dialysis machine is absolutely essential," he added.  "Without it, the chances for a long-term successful outcome are greatly reduced.  In addition, the possibility of eventually being able to undergo a successful kidney transplant is much smaller for those who lose the vital 'lifeline' which permits effective dialysis over an extended period of time."

Because the DAC is the only hospital-based facility of its kind in Michigan, the clinical specialists there can bring together all the tools they need to "take ownership" of each kidney patient's "access lifeline" to dialysis, he said. "The new vascular graft we have just introduced will help us achieve that goal," he added, "because it's a major step forward in protecting access to the kidney machine over the long term.

"Also, because our program is based at the hospital, we can maintain the complete, detailed history – including photographs, charts, diagnostics and all the rest – that is essential for monitoring each patient's specific care over time."

"That's a huge advantage, when it comes to making sure the patient is being monitored and followed at every stage of dialysis care, all the way through kidney transplant, should that particular therapy be required."

The DAC provides a comprehensive team of multidisciplinary experts that includes nephrologists (kidney specialists), general surgeons, vascular surgeons, interventionists and nurses, all of whom are dedicated to giving patients complete and safe access to dialysis care.

The DAC also provides continuing cardiovascular care, inpatient and outpatient services, a hypertension program and kidney transplant services to all kidney patients who require them.

In order to provide the best continuing access to dialysis, the DAC relies on a variety of procedures designed to establish a permanent connecting-point that will allow patients to link up with a dialysis machine whenever required.

There are two basic types of access-establishing procedures.  One of them, known as a "Fistula Procedure," connects a vein (typically located in the patient's arm) with a nearby artery.  This bridge between the two – permanently maintained beneath the patient's skin – then provides a safe and reliable entry point for the needle-fronted line that will carry the patient's blood through the dialysis machine, so that it can be cleaned of waste products and then returned to the patient's own bloodstream.

The second type of dialysis access is achieved via a tube (or "catheter") that is inserted into a large vein in the neck, chest or groin and then connected to the dialysis machine.

Because the catheter approach presents a higher rate of infection, many kidney specialists prefer to use the Fistula Procedure.

Dr. Rits also noted that the DAC is providing an important public-health benefit in Detroit, where diabetes-linked kidney disease has long been a chronic health problem.

"I think what's really significant about our program is that it's targeted to the thousands of Detroit-area patients who have an urgent need to maintain safe, healthy access to kidney dialysis," he said.

"Meeting the needs of that population is extremely important to us at Harper – which is why we've created the only hospital-based program in Michigan designed to help achieve continuing access to dialysis for patients with kidney disease."

About Detroit Medical Center

The Detroit Medical Center includes DMC Children's Hospital of Michigan, DMC Detroit Receiving Hospital, DMC Harper University Hospital, DMC Huron Valley-Sinai Hospital, DMC Hutzel Women's Hospital, DMC Rehabilitation Institute of Michigan, DMC Sinai-Grace Hospital, DMC Surgery Hospital, and DMC Cardiovascular Institute. The Detroit Medical Center is a leading regional healthcare system with a mission of excellence in clinical care, research and medical education.


SOURCE Detroit Medical Center
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. MusclePharm Signs Pro Baseball Rookie Phenom Bryce Harper As Sponsored Athlete
2. Dr. Sheldon Pinnell, The Founding Father Of Topical Antioxidants, Leading Scientist Behind SkinCeuticals, And Chief Emeritus Of The Division Of Dermatology At Duke University, Dies At 76
3. Sorrento Therapeutics and Ben-Gurion University Sign an Agreement for the Development of Anti-Hepatitis C Virus Antibodies
4. Yale University Deploys Integration Between its EMR and Fortes OnCore
5. University Researchers Use Biozoom Scanner To Investigate Relationship Between Stress And Work
6. The University of Sydney and ResMed partner to accelerate research in sleep-disordered breathing and biomedical engineering
7. Duke University Medical Center Study Finds Prodigy Blood Glucose Monitor System Ranks Highest In Quality Among Leading Brands
8. SonaCare Medical Partners with University College London to Create Center of Excellence for HIFU Surgical Ablation Technology
9. SonaCare Medical to Integrate SmartTarget Image Registration and Fusion Software from University College London into Industry Leading Prostate HIFU System
10. Rush University Medical Center Presents Positive MuGard Clinical Data at the Oncology Nursing Society 38th Annual Congress
11. Cardinal Health Foundation, The Ohio State University Launch Fourth Toolkit to Help Reduce Abuse of Prescription Drugs on College Campuses
Post Your Comments:
(Date:11/26/2015)... 2015 ... the  "2016 Future Horizons and Growth ... Testing Market: Supplier Shares, Competitive Intelligence, ... --> ) has ... Future Horizons and Growth Strategies in ...
(Date:11/26/2015)... Research and Markets ( ) has announced the ... Type (Dressings, Therapy Devices, Active Wound Care), Application (Surgical ... Geography - Global Forecast to 2020" report to ... --> The purpose of this report is to ... advanced wound care market. It involves deep dive analysis ...
(Date:11/26/2015)... DUBLIN , November 26, 2015 ... of the "Self Administration of High Viscosity ... ) has announced the addition of ... report to their offering. --> ... the addition of the "Self Administration of ...
Breaking Medicine Technology:
(Date:11/28/2015)... CA (PRWEB) , ... November 28, 2015 , ... Pixel ... fully customizable media panels to choose from, the possibilities are endless. Users have full ... more. With the ProPanel: Pulse masking effects, users are sure to get heads to ...
(Date:11/27/2015)... Los Angeles, CA (PRWEB) , ... November 27, 2015 , ... ... new study carried out by the University of Toronto and the University of British ... number of hospitalizations for head injuries. The article explains that part of the reason ...
(Date:11/27/2015)... ... 2015 , ... A team of Swiss doctors has released a report on ... just posted the findings on the website. Click here to read the details ... mesothelioma patients who were treated with chemotherapy followed by EPP surgery. Among the 106 ...
(Date:11/27/2015)... ... November 27, 2015 , ... Lizzie’s Lice Pickers just announced a special promotion ... off of their purchase of lice treatment product. In addition, customers will receive a ... company spokesperson. “Finding lice is a sure way to ruin the holidays, so we ...
(Date:11/27/2015)... LOS ANGELES, CA (PRWEB) , ... November 27, 2015 , ... MPWH, the No.1 Herpes-only ... age of 30 (see Table 1-1 ). More than 3.7 billion people under ... simplex virus type 1 (HSV-1), according to WHO's first global estimates of HSV-1 infection ...
Breaking Medicine News(10 mins):