Document Detail

Basilic vein to brachial artery fistula: a new access for chronic hemodialysis.
MedLine Citation:
PMID:  1019638     Owner:  NLM     Status:  MEDLINE    
A new vascular access for chronic hemodialysis is developed by creating a fistula in the upper arm between the end of the relocated basilic vein and anterior aspect of the brachial artery. The procedure has been used 24 times in 23 patients over the past 15 months (average eight months) with minimal complications and low failure rates. This fistula provides a straight, long, easily accessible conduit with high flows; it has only one vascular anastomosis and maintains the anatomic continuity of its venous end with the axillary vein. It also obviates the need for autologous, prosthetic, or heterografts. The procedure is indicated when suitable vessels in the forearm have been exhausted or are unavailable. However, additional clinical trials and continued long-term follow-up are necessary for more definite conclusions.
F J Dagher; R L Gelber; E J Ramos; J H Sadler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  69     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1976 Nov 
Date Detail:
Created Date:  1977-04-30     Completed Date:  1977-04-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1438-40     Citation Subset:  AIM; IM    
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MeSH Terms
Arteriovenous Anastomosis / surgery*
Axillary Vein / surgery*
Brachial Artery / surgery*
Middle Aged
Renal Dialysis / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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