New method to create a vascular arteriovenous fistula in the arm with an endoscopic technique

We describe a new technique in which the basilic vein is transposed subcutaneously with endoscopic surgery to create a vascular access in the arm. The vein was harvested with the Endoscopic Vascular Surgery System (Olympus Co, Tokyo, Japan). We could harvest a vessel about 25 cm long with endoscopy....

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Bibliographic Details
Published in:Journal of vascular surgery 2002-09, Vol.36 (3), p.635-638
Main Authors: Hayakawa, Kunihiro, Tsuha, Miyuki, Aoyagi, Teiichiro, Miyaji, Keisuke, Hata, Makoto, Tanaka, Shigemitsu, Tanaka, Araki, Shiota, Jyun
Format: Article
Language:English
Subjects:
Arm - blood supply
Arm - surgery
Arteriovenous Shunt, Surgical - methods
Biological and medical sciences
Catheters, Indwelling
Endoscopy - methods
Humans
Medical sciences
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Description
Summary:We describe a new technique in which the basilic vein is transposed subcutaneously with endoscopic surgery to create a vascular access in the arm. The vein was harvested with the Endoscopic Vascular Surgery System (Olympus Co, Tokyo, Japan). We could harvest a vessel about 25 cm long with endoscopy. After vessel transposition, an arteriovenous fistula was created in the usual manner. In all 10 patients, we created an effective blood access as scheduled before surgery. We could use the arteriovenous fistula 6 days after surgery and get blood flow in all cases. (J Vasc Surg 2002;36:635-8.)
ISSN:0741-5214
1097-6809
DOI:10.1067/mva.2002.126562