Arteriovenous Fistula Formation Using Microscope Rather than Surgical Telescope.
10.15596/ARMS.2014.23.2.97
- Author:
Byeong Ho LEE
1
;
In Suck SUH
;
A Jin CHO
;
Jung Woo NOH
;
Hii Sun JEONG
Author Information
1. Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. hiisunj@gmail.com
- Publication Type:Case Report
- Keywords:
Chronic renal failure;
Arteriovenous fistula;
Shunt;
Microscopy
- MeSH:
Arm;
Arteriovenous Fistula*;
Dialysis;
Edema;
Hemorrhage;
Humans;
Kidney Failure, Chronic;
Male;
Microscopy;
Middle Aged;
Nylons;
Phlebography;
Plastics;
Radial Artery;
Renal Replacement Therapy;
Telescopes*;
Veins;
Wounds and Injuries;
Wrist
- From:Archives of Reconstructive Microsurgery
2014;23(2):97-100
- CountryRepublic of Korea
- Language:English
-
Abstract:
The number of patients with chronic renal failure who require renal replacement therapy is increasing and dialysis is still the mainly used renal replacement therapy. The first choice of surgical technique currently used is side-to-end anastomosis of the radial artery and the cephalic vein. The authors report on a case of an effective arteriovenous shunt operation performed using microscopy. A 53-year-old male with chronic renal failure was referred to plastic and reconstructive surgery department to undergo an arteriovenous shunt operation. Venography was performed before surgery in order to find the appropriate vessel for the arteriovenous shunt operation. The cephalic vein on the wrist showed a diameter of over 4 mm, which was appropriate for an arteriovenous shunt operation. Anastomosis of the vessels was performed under microscopy using Nylon #9-0. Blood flow and vessel diameter were evaluated by venography after surgery and showed well maintained function of the shunt. Complications such as bleeding, edema of the upper arm, and wound dehiscence did not occur. Many factors and certain complications may affect the long-term patency of an arteriovenous shunt; however, exquisite surgical technique is the most important factor in a successful operation. Thus, arteriovenous shunt operation using microscopy is thought to be a good treatment option.
