In a small percentage of cases, conventional a-v fistulae of the Brescia- Cimino type fail to provide long-term access facilities for chronic hemo dialysis. When homologous venous interposition grafts are not available, the surgeon is forced to seek foreign interposition material. In three instances woven dacron arterio-venous interposition grafts were success fully constructed in the thigh, and uneventful hemodialysis was accom plished in all 3 patients.
Get full access to this article
View all access options for this article.
References
1.
Adar, R., Siegal, A., Bogokowsky, H., et al.: The use of arteriovenous autograft and allograft fistulas for chronic hemodialysis. Surg. Gynecol. Obstet., 136: 941, 1973.
2.
Flores, L., Dunn, I., Frumkin, E., et al: Dacron arterio-venous shunts for vascular access in hemodialysis . Trans. Am. Soc. Artif. Intern Organs, 19: 33, 1973.
3.
May, J., Tiller, D., Johnson, J., et al.: Saphenous vein arterio-venous fistula in regular dialysis treatment . N. Engl. J. Med., 280: 770, 1969.
4.
Moses, M., Hurwich, B.J., Adar, R., et al.: Arteriovenous vein graft for chronic hemodialysis: A preliminary report. Surgery, 67: 452, 1970.
5.
Girardet, R.E. , Hackett, R.E., Goodwin, N.J., et al.: Thirteen months experience with the saphenous vein graft arterio-venous fistula for maintenance hemodialysis . Trans. Am. Soc. Artif. Intern Organs, 16: 285, 1970.
6.
Lindner, A., Curtis, K.: Morbidity and mortality associated with long-term hemodialysis. Hosp. Practice, 9: 143, 1974.
7.
Chinitz, J.L. , Yokoyama, T., Bower, R., et al.: Self-sealing prosthesis for arterio-venous fistula in man. Trans. Am. Soc. Artif. Intern Organs, 18: 452, 1972.
