Lawrence Zachary, Chivukula Sitaram V, Farlow Erin C, Keen Richard R, Sheng Neha
Department of Surgery, John H. Stroger Hospital of Cook County, Chicago, Ill.
J Vasc Surg Cases Innov Tech. 2021 Feb 4;7(2):271-274. doi: 10.1016/j.jvscit.2020.12.021. eCollection 2021 Jun.
When patients lack suitable superficial veins in the upper extremity to create an arteriovenous fistula, surgeons are faced with a decision between a synthetic graft or autologous fistula using deep veins, such as a brachial artery to brachial vein arteriovenous fistula. In patients with a high radial artery origin (or brachioradial artery) and inadequate superficial veins, arteriovenous fistula creation will be even more challenging. In the present report, we describe a technique used in three such patients who underwent successful staged brachioradial artery to brachioradial vein arteriovenous fistula creation.
当患者上肢缺乏合适的浅静脉来建立动静脉内瘘时，外科医生面临着在人工血管移植物和使用深静脉的自体动静脉内瘘（如肱动脉至肱静脉动静脉内瘘）之间做出选择。对于桡动脉起始位置较高（或肱桡动脉）且浅静脉不足的患者，建立动静脉内瘘将更具挑战性。在本报告中，我们描述了一种用于三名此类患者的技术，他们成功地分期建立了肱桡动脉至肱桡静脉动静脉内瘘。
