Radial artery-first dorsal metacarpal vein arteriovenous fistula in the first interdigital space of the dorsal hand for hemodialysis
Autor: | Shuichi Rikitake, Yasunori Nonaka, Tsuyoshi Takashima, Makoto Fukuda, Kazuhisa Rikitake, Yuji Ikeda, Motoaki Miyazono, Yuki Yamashita, Atsuhiko Suenaga, Yui Nakashima |
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Rok vydání: | 2019 |
Předmět: |
business.industry
medicine.medical_treatment 030232 urology & nephrology Arteriovenous fistula Index finger Anatomy 030204 cardiovascular system & hematology Thumb medicine.disease Anatomical snuffbox 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Nephrology medicine.artery medicine Dorsal hand Upper limb Surgery Hemodialysis Radial artery business |
Zdroj: | The Journal of Vascular Access. 21:790-794 |
ISSN: | 1724-6032 1129-7298 |
DOI: | 10.1177/1129729819884477 |
Popis: | A radiocephalic arteriovenous fistula in the anatomical snuffbox (tabatière region) was first described in 1969 as the most peripheral site for arteriovenous fistula in the upper limb. In cases in which the internal diameter of the first dorsal metacarpal vein under avascularization is ⩾2.0 mm, we have adopted a new operative technique for creating a radial artery-first dorsal metacarpal vein arteriovenous fistula in the first interdigital space of the dorsal hand, which lies between the thumb and the index finger. This technique is the creation of the arteriovenous fistula using the first dorsal metacarpal vein and the most peripheral site in the upper limb. To our knowledge, no previous report has described the creation of a radial artery-first dorsal metacarpal vein arteriovenous fistula. We herein describe the steps of the technique and report its successful performance in a patient with chronic renal failure. |
Databáze: | OpenAIRE |
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