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[110 surgical arteriovenous fistulas in 89 children].

作者信息

Guitard J, Moscovici J, Visentin M, Chansou A, Vaysse P, Juskiewenski S

机构信息

Département de Chirurgie Pédiatrique, Hôpital Purpan, Toulouse.

出版信息

Chir Pediatr. 1988;29(1):18-23.

PMID:3135124
Abstract

110 arteriovenous fistulas made for hemodialysis, chemotherapy and extended parenteral nutrition are studied. For authors, the side-end radial arteriovenous fistula is the main used, followed by the humero-basilic shunt. The immediately functional fistula's percentage was of 81% with a net progress in the last year since it is now at 92%. Thrombosis prevails in early complications. 32% of delayed complications are minutely studied. They include thrombosis, infections, trophic disturbance of hands, secondary stenosis, hyper-flow with cardiac consequences. Others more unusual delayed complications are described ("Stealing" syndrome, no venous distention, bleeding, pseudo-aneurysm). The authors advice the side-end arteriovenous fistula for hemodialysis and humero-basilic shunt with immediately basilic superficialization for infant's hemodialysis, for chemotherapy and parenteral nutrition.

摘要

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