Document Detail

Clinical experience with an anatomic snuff box arteriovenous fistula in hemodialysis patients.
MedLine Citation:
PMID:  8725684     Owner:  NLM     Status:  MEDLINE    
The present study was performed to evaluate the clinical usefulness of an anatomical snuff box arteriovenous fistula with special reference to its short-term and long-term patency in 139 hemodialysis patients. A snuff box fistula was established in 139 patients, including 39 with diabetic nephropathy (DN group) and 100 with non diabetic nephropathy (non DN Group). Fistula blood flow was measured by Doppler ultrasound in 18 patients. Early and late obstruction was observed in 24 (17%) of the 139 patients. The long-term patency rate of the snuff box fistula in the non DN group was 87% at 57 months, whereas the patency rate at 57 months in the DN group (72%) was significantly (p < 0.05) lower than that in the non DN group. The increase in arterialized vein blood flow in DN patients was less marked than that in the non DN patients. These results suggest that the high prevalence of late obstruction in DN patients may partly be reflected by an insufficient increase of arterialized vein blood flow at the snuff box site.
H Horimi; E Kusano; T Hasegawa; K Fuse; Y Asano
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  42     ISSN:  1058-2916     ISO Abbreviation:  ASAIO J.     Publication Date:    1996 May-Jun
Date Detail:
Created Date:  1997-01-17     Completed Date:  1997-01-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  177-80     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochigi, Japan.
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MeSH Terms
Arteriovenous Shunt, Surgical / standards*
Blood Flow Velocity / physiology
Diabetic Nephropathies / physiopathology,  surgery,  therapy*
Kidney Failure, Chronic / physiopathology,  surgery,  therapy*
Middle Aged
Renal Dialysis*
Risk Factors
Treatment Outcome
Ultrasonography, Doppler

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

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