Chronic Hemodialysis Using Venipuncture and a Surgically Created Arteriovenous Fistula

Хронический гемодиализ с использованием венепункции и хирургически созданного артериовенозного свища
Michael J. Brescia, James E. Cimino, Kenneth E. Appel, Baruch J. Hurwich
1966-11-17

Teflon-Silastic looparteriovenous fistulachronic hemodialysispermanent cannula implantationvenipuncture
THE success of chronic hemodialysis in terminal renal failure depends on repeated access to blood vessels that will provide a continuous flow of up to 250 to 300 ml. per minute.A technic was developed for the permanent implantation of cannulas into an artery and vein of the forearm. Between dialyses, patency of these blood vessels depends on maintaining circulation between artery and vein by means of a Teflon-Silastic loop, creating an external arteriovenous fistula. The surgical technic required for the successful implantation of these catheters has been described.1 , 2 This prosthesis is now used by virtually all centers engaged in . . .
1
A technique was developed for permanent implantation of cannulas into a forearm artery and vein to enable chronic hemodialysis.
2
Between dialysis sessions, blood vessel patency is maintained by a Teflon-Silastic loop creating an external arteriovenous fistula.
3
The implanted cannulas provide continuous blood flow of up to 250 to 300 ml per minute necessary for chronic hemodialysis.
4
The surgical technique for successful catheter implantation has been described and adopted by virtually all centers performing chronic hemodialysis.

Chronic hemodialysis access created by surgically implanted forearm arteriovenous fistula with Teflon-Silastic loop and implanted arterial and venous cannulas

Establishment and maintenance of durable vascular access for chronic hemodialysis, including surgical technique for implantation and patency maintenance of the external arteriovenous fistula enabling continuous high blood flow (250–300 ml/min)

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1966-11-17
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Authors
Michael J. Brescia
James E. Cimino
Kenneth E. Appel
Baruch J. Hurwich
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