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Advantages of Surgical Arteriovenous Fistulas for Hemodialysis
James P. Byrne, MD;
Lawrence E. Stevens, MD;
Dean H. Weaver, MD;
J. Gary Maxwell, MD;
Keith Reemtsma, MD
AMA Arch Surg. 1971;102(4):359-362.
Abstract
One hundred and forty-three arteriovenous (A-V) communications were studied in 98 patients on chronic hemodialysis. Four categories of A-V communication were analyzed and compared as to incidence of complications and functional efficiency for hemodialysis. Infectious and thrombotic complications were significantly less in the group of radial A-V fistulas than in the groups of radial artery or posterior tibial artery siliconized-rubber shunts. Brachial A-V fistulas also had a significantly higher incidence of complications. It is concluded that the radial A-V fistula is a superior method of gaining access to a patient's circulation for chronic hemodialysis.
Author Affiliations
Salt Lake City
From the Department of Surgery, University of Utah College of Medicine, Salt Lake City.
Footnotes
Accepted for publication Dec 15, 1970.
Read before the 78th annual meeting of the Western Surgical Association, Colorado Springs, Colo, Nov 20, 1970.
Reprint requests to 50 N Medical Dr, Salt Lake City 84112 (Dr. Byrne).
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