Document Detail


The abnormal superficial radial artery does not restrict the successful creation of hemodialysis forearm arteriovenous fistula.
MedLine Citation:
PMID:  19473623     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Anatomical variations of the radial artery are of clinical importance in end-stage renal disease patients awaiting creation of native arteriovenous fistula for hemodialysis. As radial-cephalic direct wrist fistula is a vascular access of choice, atypical localization of the distal part of the radial artery may lead to the false assumption of severe atherosclerotic lesions and prevent creation of such an access, despite good vessel conditions and convenient surgical approach. We present 7 patients with radial artery variations. In 5 patients with superficial radial artery, radial-cephalic direct wrist access was created. One patient, due to an anomaly misdiagnosis, had radial-cephalic fistula created on the contra lateral wrist. In the patient with hypoplastic radial artery brachial-basilic upper arm transposition was created.
Authors:
W Weyde; M Krajewska; S C Zmonarski; W Letachowicz; J Penar; E Watorek; T Golebiowski; M Kusztal; B Dubinski; R Badowski; J Garcarek; K Madziarska; R Klak; M Klinger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nephrology     Volume:  71     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-28     Completed Date:  2009-06-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  584-7     Citation Subset:  IM    
Affiliation:
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland. ewatorek@wp.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angiography
Arteriovenous Shunt, Surgical / methods*
Catheters, Indwelling
Female
Humans
Male
Middle Aged
Polycystic Kidney, Autosomal Dominant / therapy*
Radial Artery / abnormalities*,  surgery
Renal Dialysis / methods*
Vascular Malformations / diagnosis*

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


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