{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:09:17Z","timestamp":1788815357585,"version":"build-2803163510"},"reference-count":14,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Hybrid arteriovenous grafts (AVGs) incorporating a stented venous outflow were developed to facilitate access creation in patients with unfavorable venous anatomy. Following discontinuation of dedicated hybrid graft devices, off-the-shelf (OTS) stent-graft configurations have been adopted. We report our 10-year institutional experience and evaluate patency outcomes and reintervention burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of consecutive hybrid AVGs created between 2014 and 2024 was performed. Patients were stratified by configuration: dedicated Gore Hybrid Vascular Graft (GHVG) versus OTS graft plus covered stent. Primary, assisted primary, and secondary patency were calculated using Kaplan\u2013Meier analysis. Reinterventions were analyzed descriptively and expressed per patient-year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty hybrid AVGs were created (GHVG, 7 (17.5%); OTS, 33 (82.5%)). Median follow-up was 37.3\u2009months. Primary patency was 50.7% at 6\u2009months and 31.0% at 12\u2009months (median 6.4\u2009months). Assisted primary patency was 68.8% at 6\u2009months and 52.3% at 12\u2009months (median 12.1\u2009months). Secondary patency was 89.3% at 12\u2009months and 83.6% at 24\u2009months (median 71.2\u2009months). A total of 172 reinterventions were performed (1.30 per patient-year). The most frequent lesions were venous stent-edge and cannulation-site stenoses. No statistically significant difference in patency was observed between GHVG and OTS configurations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Hybrid AVG construction provides durable secondary patency despite limited primary patency, with an acceptable reintervention burden. Off-the-shelf configurations demonstrate outcomes comparable to dedicated hybrid devices and represent a practical option for patients with complex venous outflow anatomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261448932","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T11:13:57Z","timestamp":1779275637000},"page":"2284-2289","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Hybrid arteriovenous grafts for hemodialysis access: A 10-year single-centre experience with off-the-shelf stent-graft configurations"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7943-2954","authenticated-orcid":false,"given":"Joel Jia Yi","family":"Soon","sequence":"first","affiliation":[{"name":"Vascular and Endovascular Service, Department of Surgery, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek Chunyin","family":"Ho","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Service, Department of Surgery, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaun Qing Wei","family":"Lee","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Service, Department of Surgery, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darryl Mingjun","family":"Lim","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Service, Department of Surgery, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yih Kai","family":"Tan","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Service, Department of Surgery, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Kum","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Service, Department of Surgery, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei Shi","family":"Lew","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Service, Department of Surgery, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","unstructured":"Bachleda P Utikal P Kocher M et al. Arteriovenous graft for hemodialysis graft venous anastomosis closure - current state of knowledge. Minireview. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2015; 159(1): 27\u201330. https:\/\/doi.org\/10.5507\/bp.2014.027","DOI":"10.5507\/bp.2014.027"},{"key":"e_1_3_2_3_2","doi-asserted-by":"crossref","unstructured":"Haskal ZJ Trerotola S Dolmatch B et al. Stent graft versus balloon angioplasty for failing dialysis-access grafts. N Engl J Med 2010; 362(6): 494\u2013503. https:\/\/doi.org\/10.1056\/NEJMoa0902045","DOI":"10.1056\/NEJMoa0902045"},{"key":"e_1_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Vesely T DaVanzo W Behrend T et al. Balloon angioplasty versus Viabahn stent graft for treatment of failing or thrombosed prosthetic hemodialysis grafts. J Vasc Surg 2016; 64(5): 1400\u20131410.e1. https:\/\/doi.org\/10.1016\/j.jvs.2016.04.035","DOI":"10.1016\/j.jvs.2016.04.035"},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","unstructured":"Yang HT Yu SY Su TW et al. A prospective randomized study of stent graft placement after balloon angioplasty versus balloon angioplasty alone for the treatment of hemodialysis patients with prosthetic graft outflow stenosis. J Vasc Surg 2018; 68(2): 546\u2013553. https:\/\/doi.org\/10.1016\/j.jvs.2017.12.062","DOI":"10.1016\/j.jvs.2017.12.062"},{"key":"e_1_3_2_6_2","doi-asserted-by":"crossref","unstructured":"Dolmatch B Waheed U Balamuthusamy S et al. Prospective multicenter clinical study of the covera vascular covered stent in the treatment of stenosis at the graft-vein anastomosis of dysfunctional hemodialysis access grafts. J Vasc Interv Radiol 2022; 33(5): 479\u2013488.e3. https:\/\/doi.org\/10.1016\/j.jvir.2022.02.008","DOI":"10.1016\/j.jvir.2022.02.008"},{"key":"e_1_3_2_7_2","doi-asserted-by":"crossref","unstructured":"Gomez LF Peden EK. Description and early outcomes of the hybrid graft for dialysis. 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