Benedetti E, Del Pino A, Cintron J, Duarte B
Department of Surgery, University of Illinois, Chicago, USA.
Am J Surg. 1996 Mar;171(3):369-70. doi: 10.1016/s0002-9610(97)89645-6.
Since the initial description of the radial arteriovenous (AV) shunt, hemodialysis has played a primary role in the survival of patients with chronic renal failure. However, it is not unusual to be confronted with patients on chronic hemodialysis who have exhausted all superficial venous access sites. We describe a technique using the deep veins of the arms the outflow system during AV graft construction. By anastomosing the venous limb of the graft to the larger of the two brachial veins, we have been able to give patients AV access when the superficial veins have been exhausted. We have performed this technique with good success in 12 patients. Further experience and longer follow-up are needed.
自从桡动静脉分流首次被描述以来，血液透析在慢性肾衰竭患者的生存中发挥了主要作用。然而，面对慢性血液透析患者，其所有浅表静脉通路部位都已用尽的情况并不罕见。我们描述了一种在动静脉移植物构建过程中使用手臂深部静脉作为流出系统的技术。通过将移植物的静脉端吻合到两条肱静脉中较大的那条静脉上，当浅表静脉用尽时，我们能够为患者提供动静脉通路。我们已在12例患者中成功实施了该技术。还需要进一步的经验和更长时间的随访。
