Chronic Hemodialysis Using Venipuncture and a Surgically Created Arteriovenous Fistula

TLDR

Chronic hemodialysis success depends on repeated vascular access that provides continuous flow of 250–300 ml/min. A technique was developed for permanent cannula implantation into the forearm artery and vein, maintaining patency with a Teflon‑Silastic loop that creates an external arteriovenous fistula. The surgical technique for successful catheter implantation has been described and is now used by virtually all centers. No additional information provided.

Abstract

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 . . .