Quesada C, Guidicelli H, Meaulle P Y, Lebeau J
Nouv Presse Med. 1980 Mar 29;9(15):1091.
We describe a new type of arteriovenous fistula for haemodialysis, aimed at controlling arterial spasms which contribute to thrombosis. A laterolateral fistula is created, and the artery is sectioned below the anastomosis. A Fogarty catheter inserted through this "safety valve" relieves the spasm without interfering with the arteriovenous shunt. Mere ligature of the distal segment of the artery transforms the fistula from terminolateral into terminoterminal.
我们描述了一种用于血液透析的新型动静脉瘘,旨在控制导致血栓形成的动脉痉挛。制作一个外侧侧瘘,并在吻合口下方切断动脉。通过这个“安全阀”插入的Fogarty导管可缓解痉挛,而不会干扰动静脉分流。仅结扎动脉远端段可将瘘从端侧型转变为端端型。