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However, AVFs and AVGs are prone to complications such as stenosis, aneurysm, and thrombosis, leading to dysfunction and morbidity in these patients. This report focuses on the journey of an extraordinary longevity of a 15-year-old AVG in a 54-year-old female patient, detailing multiple interventions required to maintain its patency. The case also underscores the role of a multidisciplinary team in achieving long-term success.<\/jats:p>","DOI":"10.1177\/11297298251344674","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T07:45:06Z","timestamp":1748591106000},"page":"803-806","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Fifteen years and counting: A journey of interventions to sustain an arteriovenous graft hemodialysis access"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4308-1982","authenticated-orcid":false,"given":"Rita","family":"Piedade","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine of Porto University, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Costa-Lima","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Miguel","family":"Vilas-Boas","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine of Porto University, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Dias","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine of Porto University, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diogo","family":"Domingues-Monteiro","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine of Porto University, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2650-324X","authenticated-orcid":false,"given":"Leandro","family":"N\u00f3brega","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine of Porto University, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine of Porto University, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Coentr\u00e3o","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Porto University, Porto, Portugal"},{"name":"Department of Nephrology, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Mansilha","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine of Porto University, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V74523"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.02.001"},{"issue":"1","key":"e_1_3_2_4_2","first-page":"196","article-title":"Patency of autogenous and polytetrafluoroethylene upper extremity arteriovenous hemodialysis accesses: a systematic review","volume":"40","author":"Rooijens PP","year":"2004","unstructured":"Rooijens PP, Tordoir JH, Stijnen T, et al. 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