THE REPAIR OF ARTERIOVENOUS FISTULAS: Evaluation of Operative Procedures and Analysis of Fifty-Three Cases

Autor: HERINGMAN, CRAIG, RIVES, JAMES D., DAVIS, HARRY A.
Zdroj: JAMA: Journal of the American Medical Association; March 1947, Vol. 133 Issue: 10 p663-668, 6p
Abstrakt: For many years the physiologic effects of arteriovenous fistulas have been the subjects of extensive study and experimentation. This work has been given added impetus by the occurrence of successive wars. Much of the reported physiologic data is controversial in nature, but from the clinical point of view very little controversy has arisen in the choice of surgical operations for arteriovenous fistula. The consensus has been that quadruple ligation with excision of the aneurysm is the ideal surgical procedure, although several ingenious operations have been devised to fit special cases. Elkin in a recent editorial1 expressed the opinion that in general quadruple ligation with excision is the procedure of choice. Herrmann and Reid2 advocated excision of the involved artery and vein together with the communication as the best means of effecting a cure. Holman3 in his monograph has stated that the safest and most effective method of
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