Mickley V, Storck M, Abendroth D
Department of Thoracic and Vascular Surgery, University of Ulm.
Vasa. 1996;25(3):257-60.
Long venous anastomotic stenosis of a forearm haemodialysis graft necessitates extension of the venous limb. If the extension graft crosses the antecubital region, it will be subject to kinking, and re-occlusion may be the consequence. We report our experiences with a procedure proposed by Schulak combining reversal of blood flow of forearm looped grafts and extension of the venous limbs along the ulnar aspect of the elbow. Detailed information is given on how to modify the original method in order to treat patients with straight grafts, or with looped grafts and a "misplaced" venous extension. Ten patients were successfully treated with Schulak's procedure or its modification. No intra- or post-operative complications occurred. During follow-up (from 3 to 12 months), all grafts have remained patent.
前臂血液透析移植物的长静脉吻合口狭窄需要延长静脉段。如果延长移植物穿过肘前区域，它将容易发生扭结，结果可能是再次闭塞。我们报告了我们采用舒拉克提出的一种方法的经验，该方法结合了前臂袢状移植物血流逆转以及沿肘部尺侧延长静脉段。详细介绍了如何修改原始方法以治疗直形移植物患者，或袢状移植物及“位置不当”的静脉延长患者。10例患者成功接受了舒拉克手术或其改良手术。未发生术中或术后并发症。在随访期间（3至12个月），所有移植物均保持通畅。
