By J. J. Cole, R. O. Hickman, M. B. Dennis Jr., W. Jensen, B. H. Scribner (auth.), Gauke Kootstra MD, PhD, Paul J. G. Jörning MD, PhD (eds.)
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Additional resources for Access Surgery: A review of current techniques for vascular access for Haemodialysis, Chemotherapy and Total parenteral nutrition
A relatively extensive mobilization of the vein is necessary to bring it to the artery without tension or kinking. All the branches are ligated. The vein is divided distally. A 12 MICROSURGERY IN CHILDREN long incision is made to spatulate the vein. The dissection of the artery has to be very gentle to avoid spasm, for which papaverine may help. Branches are severed after ligation or bipolar coagulation. 6 mm. Dilatation of both vessels is prohibited, not only with the Fogarty@catheter but also with saline.
T. REILLY, R. F. M. WOOD and P. R. F. BELL The longest-lasting procedure for vascular access is the wrist fistula; it would be advantageous to increase the number of primary wrist fistulas in patients who are now undergoing other access procedures because of small veins. To determine whether fistulas adequate for dialysis could be constructed despite small veins and low flow at operation, 33 consecutive fistula operations were studied. At operation vessel dimensions and blood pressure were measured and flow was determined with an electromagnetic flowmeter.
Cannulation of blood vessels for prolonged hemodialysis. Trans. Am. Soc. Artif. Intern. Organs, 6, 104 2 Quinton, W. , Dillard, D. , Cole, J. J. and Scribner, B. H. (1962). Eight months' experience with Silastic-Teflon cannulas. Trans. Am. Soc. Artif. Intern. Organs, 8, 236 3 Brescia, M. , Cimino, J. , Appel, K. and Hurwich, B. J. (1966). Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N. Engl. J. , 275, 1089 4 Boen, S. , Mion, C. , Curtis, F. K. and Shilipetar, G.
Access Surgery: A review of current techniques for vascular access for Haemodialysis, Chemotherapy and Total parenteral nutrition by J. J. Cole, R. O. Hickman, M. B. Dennis Jr., W. Jensen, B. H. Scribner (auth.), Gauke Kootstra MD, PhD, Paul J. G. Jörning MD, PhD (eds.)