Dagher F J, Gelber R L, Ramos E J, Sadler J H
South Med J. 1976 Nov;69(11):1438-40. doi: 10.1097/00007611-197611000-00013.
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.
通过在上臂重新定位的贵要静脉末端与肱动脉前侧之间创建瘘管，开发出一种用于慢性血液透析的新血管通路。在过去15个月（平均8个月）中，该手术已在23例患者中使用了24次，并发症极少且失败率低。这种瘘管提供了一条笔直、长且易于触及的高流量导管；它只有一个血管吻合口，并保持其静脉末端与腋静脉的解剖连续性。它还避免了使用自体移植物、人工合成移植物或异种移植物的需要。当前臂合适的血管已用尽或无法使用时，可采用该手术。然而，需要进行更多的临床试验和持续的长期随访才能得出更明确的结论。
