Experience in snuffbox arteriovenous fistulae for hemodialysis.
Document Type
Article
Publication Date
9-1-2000
Abstract
Sixty-five patients with "Snuffbox" arteriovenous fistulae for hemodialysis were reviewed. The procedure was performed under local anaesthesia as an outpatient procedure. It was done as a "standby" procedure for 41.5% of patients with Chronic Ambulatory Peritoneal Dialysis. 58.5% of patients had the procedure done for primary hemodialysis. Patency was assessed as presence of an engorged vein and presence of thrill. This was assessed routinely at 4 to 6 weeks after the procedure. Patency rate was noted to be 83%. The commonest complication was thrombosis of the arteriovenous anastomosis. Some patients required repeated procedure at a more proximal site. Further study to determine the blood flow rate provided by the anastomosis, and comparison with other anatomical sites is necessary.
Keywords
Orthopaedic Surgery, Arteriovenous Shunt, Surgical.
Divisions
fac_med
Publication Title
Medical Journal of Malaysia
Volume
55
Issue
C
Publisher
Malaysian Medical Association
Additional Information
Hand, Reconstructive and Microsurgery Unit, Department of Orthopaedic Surgery, University of Malaya Medical Centre, Kuala Lumpur.