Galvani E, Muolo A, Dean P, Longo M, Zampieri G F, Ancona G
Minerva Chir. 1979 Mar 31;34(6):429-38.
An assessment was made of the anterior cubital region as a vascular approach for primary and alternative dialysis. Reference is made to 36 fistulae in this area within 44 months' survival in the drawing of various conclusions with regard to surgical technique. End anastomosis of the median, cephalic or basilic vein laterally on the brachial or radial artery is recommended as a means of preventing or cutting down the more common complications associated with internal arteriovenous fitulae. The anastomosis should not exceed 6 mm in diameter. Complications led to loss of fistula function. In many cases, however, they did not prevent employment of the region for alternative approaches, such as superficialisation of the basilic vein or prosthesis.
对肘前区域作为初次及备用透析的血管通路进行了评估。在44个月的存活期内，该区域有36例瘘管，据此得出了关于手术技术的各种结论。建议将正中静脉、头静脉或贵要静脉在肱动脉或桡动脉外侧进行端侧吻合，以预防或减少与动静脉内瘘相关的常见并发症。吻合口直径不应超过6毫米。并发症导致瘘管功能丧失。然而，在许多情况下，这些并发症并未妨碍该区域用于备用通路，如贵要静脉浅表化或使用假体。
