Download Access Surgery: A review of current techniques for vascular by J. J. Cole, R. O. Hickman, M. B. Dennis Jr., W. Jensen, B. PDF

By J. J. Cole, R. O. Hickman, M. B. Dennis Jr., W. Jensen, B. H. Scribner (auth.), Gauke Kootstra MD, PhD, Paul J. G. Jörning MD, PhD (eds.)

ISBN-10: 940096594X

ISBN-13: 9789400965942

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Extra info for Access Surgery: A review of current techniques for vascular access for Haemodialysis, Chemotherapy and Total parenteral nutrition

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0 mm. Since its redesign this catheter has been placed in over 2000 patients in the city of Seattle, most of whom were under treatment for oncology conditions. This catheter and the hyperalimentation and peritoneal dialysis catheters are available from Evergreen Medical Products, PO Box 296, Medina, Washington, 98039 USA. Catheters have been in place from 7 days to 4 years. The youngest patient was 2 months old. In addition to blood administration and withdrawal the catheter is used for the administration of electrolytes, antibiotics and chemotherapeutic agents to these patients.

Two fistulas failed because of a haematoma constricting the vein which developed after needle puncture. One fistula thrombosed after an abdominal operation. Another failed because the cephalic vein did not dilate in spite of the presence of a thrill, due to the blood flow diversion towards a deep vein. Seven fistulas failed for unknown reasons from 10 to 60 days after surgery. Ischaemic complications, distal venous hypertension or cardiac failure never occurred. 18 THE 'ANATOMICAL SNUFFBOX' DISCUSSION The great improvement in dialysis techniques and improved knowledge of the management of maintenance haemodialysis patients have considerably prolonged the life of these patients.

Thorac. , Geens, M. and ~{oussaint, C. (1971). Ulnar arteriovenous fistula for maintenance hemodialysis Br. 1. , Stewart, J. and Ross Sheil, A. G. (1969). Saphenous-vein arteriovenous fistula in regular dialysis treatment. N. Engl. 1. , Heidland, A. and Klutsch, K. (1967). Die subkutane arteriovenose fistel zur intermittierenden hamodialyse-behandlung. Dtsch. Med. , 10,425 7 Thompson, B. , Barbour, G. and Bisset, J. (1972). Internal arteriovenous fistula for hemodialysis. Am. 1. , 124, 785 8 Mehigan, J.

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