Vein transposition in the forearm for autogenous hemodialysis access

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Presentation transcript:

Vein transposition in the forearm for autogenous hemodialysis access Michael B. Silva, MD, Robert W. Hobson, MD, Peter J. Pappas, MD, Paul B. Haser, MD, Clifford T. Araki, PhD, Mark C. Goldberg, MD, Zafar Jamil, MD and, Frank T. Padberg, MD Journal of Vascular Surgery Volume 26, Issue 6, Pages 981-988 (December 1997) DOI: 10.1016/S0741-5214(97)70010-7 Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Incision along length of vein marked by Doppler ultrasound. Journal of Vascular Surgery 1997 26, 981-988DOI: (10.1016/S0741-5214(97)70010-7) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Complete dissection of vein and dilation with heparinized saline solution; separate radial artery incision marked. Journal of Vascular Surgery 1997 26, 981-988DOI: (10.1016/S0741-5214(97)70010-7) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Construction of subcutaneous tunnel. Journal of Vascular Surgery 1997 26, 981-988DOI: (10.1016/S0741-5214(97)70010-7) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Vein transposed through mid-forearm volar subcutaneous tunnel. Journal of Vascular Surgery 1997 26, 981-988DOI: (10.1016/S0741-5214(97)70010-7) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Completed fistula. Mid-forearm volar location facilitates cannulation and comfortable arm positioning during dialysis. Journal of Vascular Surgery 1997 26, 981-988DOI: (10.1016/S0741-5214(97)70010-7) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Life table plot of cumulative patency rate for all AFs. Journal of Vascular Surgery 1997 26, 981-988DOI: (10.1016/S0741-5214(97)70010-7) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions