Document Detail

A new method of creating an arteriovenous graft access.
MedLine Citation:
PMID:  8615476     Owner:  NLM     Status:  MEDLINE    
Since the initial description of the radial arteriovenous (AV) shunt, hemodialysis has played a primary role in the survival of patients with chronic renal failure. However, it is not unusual to be confronted with patients on chronic hemodialysis who have exhausted all superficial venous access sites. We describe a technique using the deep veins of the arms the outflow system during AV graft construction. By anastomosing the venous limb of the graft to the larger of the two brachial veins, we have been able to give patients AV access when the superficial veins have been exhausted. We have performed this technique with good success in 12 patients. Further experience and longer follow-up are needed.
E Benedetti; A Del Pino; J Cintron; B Duarte
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  171     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-06-05     Completed Date:  1996-06-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  369-70     Citation Subset:  AIM; IM    
Department of Surgery, University of Illinois, Chicago, USA.
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MeSH Terms
Arm / blood supply
Arteriovenous Shunt, Surgical / methods*
Brachial Artery / surgery
Kidney Failure, Chronic / therapy
Radial Artery / surgery
Renal Dialysis
Veins / surgery
Comment In:
Am J Surg. 1997 Feb;173(2):149-50   [PMID:  9074387 ]

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