The Acuseal graft is a three-layered graft used for haemodialysis, developed to allow early cannulation. Until now six case reports were published describing 16 cases of delamination in these grafts. In our series, 23% of our thrombosed Acuseal grafts showed delamination, suggesting that delamination can be an important cause of flow impairment or thrombosis. Most delaminations seem puncture related. Here we present the characteristics of seven cases with focus on diagnosis and treatment.
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