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In a Hemodialysis Arteriovenous Fistula

Norman A. Silverman, MD; J. Caulie Gunnells, Jr., MD; Delford L. Stickle, MD

AMA Arch Surg. 1974;108(5):730-732.

Abstract
A patient developed Staphylococcus aureus endarteritis complicating a hemodialysis arteriovenous fistula. The principle of quadripolar ligation and excision was successfully applied. Early recognition and surgical treatment of this complication can prevent the development of bacterial endocarditis.

Author Affiliations
Durham, NC

From the Department of Surgery, Duke University Medical Center, Durham, NC. Dr. Silverman is now with the Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, Md.

Footnotes
Accepted for publication Sept 18, 1973.

Reprint requests to National Cancer Institute, National Institutes of Health, Bethesda, MD 20014 (Dr. Silverman).

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