Takashima Tsuyoshi, Nakashima Yui, Suenaga Atsuhiko, Mizuta Masato, Yamashita Yuki, Ikeda Yuki, Nonaka Yasunori, Fukuda Makoto, Rikitake Shuichi, Miyazono Motoaki, Rikitake Kazuhisa, Ikeda Yuji
Department of Nephrology, National Hospital Organization, Ureshino Medical Center, 4279-3 Shimojyukukou, Uresino-machi, Ureshino, Saga, 843-0393, Japan.
Division of Nephrology, Department of Internal Medicine, Saga University Faculty of Medicine, 5-1-1 Nabeshima, Saga, Saga, 849-8501, Japan.
Int J Surg Case Rep. 2020;72:330-334. doi: 10.1016/j.ijscr.2020.05.101. Epub 2020 Jun 11.
The creation of the first arteriovenous fistula (AVF) as far distally in the upper limb as possible is ideal. We developed a new operative technique for creating a radial artery-second dorsal metacarpal vein AVF in the first interdigital space. This technique involves the creation of the AVF using the most peripheral site and autologous vein in the upper limb.
We herein describe the steps of this technique and its successful performance in a 71-year-old man with end-stage renal disease.
This technique has several advantages including preserving many future vascular access options and providing a long segment of arterialized vein for cannulation.
We consider this technique to be a worthwhile option and recommend the use in patients with the proper vessels for the creation of the AVF.
尽可能在肢体远端创建第一例动静脉内瘘（AVF）是理想的。我们开发了一种新的手术技术，用于在第一指间间隙创建桡动脉-第二掌背静脉AVF。该技术涉及使用上肢最外周的部位和自体静脉来创建AVF。
我们在此描述该技术的步骤及其在一名71岁终末期肾病男性患者中的成功应用。
该技术具有几个优点，包括保留许多未来的血管通路选择，并提供长段动脉化静脉用于插管。
我们认为该技术是一个值得选择的方法，并建议在有合适血管用于创建AVF的患者中使用。
