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  Vol. 141 No. 1, January 2006 TABLE OF CONTENTS
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  Invited Critique
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Creating Arteriovenous Fistulas in 132 Consecutive Patients—Invited Critique

Samuel Eric Wilson, MD

Arch Surg. 2006;141:32.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Successful vascular access surgery requires experience, precision in technique, patience, and most of all, innovation. As described by Jennings, the results of the proximal radial artery to distal forearm vein (reverse) NAVF exemplify the best current outcomes in NAVF construction. On a regional basis, the prevalence of NAVFs in use for hemodialysis in North America is low, in the order of 40%, when compared with Europe and Australasia. A recent report1 on the almost 12 000 patients in the southeastern Network 13 showed the overall prevalence of NAVFs to be 28.2% and use of central catheters to be 29.7%. A careful reading of Jennings’ methods gives us another technique to improve our rate of NAVF construction.

Although described previously, the reversed venous outflow fistula has not received wide application perhaps because of concern that the forearm would swell. Fortunately, this was not a problem in Jennings’ series. . . . [Full Text of this Article]


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RELATED ARTICLE

Creating Arteriovenous Fistulas in 132 Consecutive Patients: Exploiting the Proximal Radial Artery Arteriovenous Fistula: Reliable, Safe, and Simple Forearm and Upper Arm Hemodialysis Access
William C. Jennings
Arch Surg. 2006;141(1):27-32.
ABSTRACT | FULL TEXT  






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