About streamlined brachial dialysis shunts.

Acta Chir Hung

Department of Surgery Nógrád County's Hospital, Fresenius Medical Care, Salgótarján, Hungary.

Published: January 1998

The authors modified the technics of fistula forming. In such cases where to create a connection on the forearm is impossible one possible modality is to make it between major vessels on the arm. Streamlined connection was made in seven patients between basilic vein and brachial artery in three cases, between cephalic vein and brachial artery in four. There were two men and five women. The age interval was between 58 and 78 years. The longest observation period is 30 months. Until this time the fistulas were suitable for dialysis and had abundant yield. Because of the number of cases and the observation period has not yet make possible to come to final conclusion their goal was to present technical solution first of all. Their expectation is that with making them streamlined they will manage to create good perfusing and long lasting fistulas.

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