Lindstedt E, Lindergård B
Scand J Urol Nephrol. 1980;14(2):207-9. doi: 10.3109/00365598009179562.
Twenty-five dialysis patients have been operated 27 times using a modified surgical technique with transposition of the basilic vein for construction of a forearm arteriovenous fistula. The vein is explored at the elbow and dissected free as far distally as possible using small transverse incisions. The vein is cut distally, taken out at the elbow and positioned in a straight, superficial narrow tunnel on the volar side of the forearm for anastomosis to the side of the radial or the ulnar artery. The operation was successful in 19 (76%) cases giving an easily accessible and well-functioning arterialised vein. The surgical technique is simple and is recommended as a primary procedure in patients where the cephalic or other radial or dorsal vein is not available, and as a secondary procedure after failure of a radiocephalic fistula. It is considered of special value for home dialysis patients.
25例透析患者采用改良手术技术，通过移位贵要静脉来构建前臂动静脉内瘘，共进行了27次手术。在肘部探查静脉，并使用小横向切口尽可能向远心端游离解剖。在远心端切断静脉，从肘部取出，置于前臂掌侧一个直的、表浅的狭窄隧道内，以便与桡动脉或尺动脉的侧面进行吻合。手术成功19例（76%），形成了易于触及且功能良好的动脉化静脉。该手术技术简单，推荐用于无法使用头静脉或其他桡侧或背侧静脉的患者作为初次手术，以及在头静脉桡动脉内瘘失败后作为二次手术。对于家庭透析患者，该技术具有特殊价值。
