Kindhäuser V, Kottmann F, Dostal G, Eigler F W
Chirurg. 1979 Jun;50(6):359-63.
The percentage of venous insufficiency in the original Cimino-Brescia shunt is very low. In cases of venous insufficiency, early diagnosis is important; operative correction is then easily performed. Ligature of the distal venous limb next to the anastomosis is the treatment of choice, providing the proximal limb is still open. If the proximal limb is obstructed, the distal venous part is dissected and anastomosed to a more proximal vein. The result is an immediately functioning shunt for dialysis.
原始的西米诺-布雷西亚分流术中静脉功能不全的发生率非常低。对于静脉功能不全的病例，早期诊断很重要；随后进行手术矫正很容易。如果近端肢体仍然通畅，吻合口旁远端静脉肢体的结扎是首选治疗方法。如果近端肢体受阻，则解剖远端静脉部分并将其吻合到更近端的静脉。结果是形成一个立即能用于透析的分流。
