Breza J
Czech Med. 1986;9(1):38-43.
Technique and tactics of the construction of arteriovenous fistula between a. brachialis and v. basilica transposed into the subcutaneous tissue of the arm are described. It is advantagenous to use this fistula construction in "problematic" patients when there are no other possibilities for an arteriovenous shunt. In comparison with arteriovenous fistulas of vascular grafts and of artificial vascular prostheses the described method has an advantage only in one vascular anastomosis, since straight fistula form is involved, kinking of the arterialized vein cannot occur and, finally, fistula is formed from an autologous vessel which is always thick enough even in little children and gracile women.
描述了将肱动脉与贵要静脉转位至手臂皮下组织建立动静脉内瘘的技术和策略。当“问题”患者没有其他动静脉分流的可能性时,使用这种内瘘构建方法是有利的。与血管移植物和人工血管假体的动静脉内瘘相比,所述方法仅在一个血管吻合方面具有优势,因为涉及的是直形内瘘形式,动脉化静脉不会发生扭结,最后,内瘘由自体血管形成,即使在儿童和瘦弱女性中该血管也总是足够粗。