[Arteriovenous fistulae for periodic hemodialysis: a simple procedure for correcting distal complications of venous origin].
A method is proposed for treatment of venous stasis responsible for edema and trophic disorders of the hand after side-to-side arteriovenous fistula at the wrist. A full lumen anastomosis is performed between the cephalic vein of the thumb (distal in relation to the fistula) and the superficial cubital vein, using a subcutaneous tunnel created on the dorsal surface of the wrist. Applied to 7 patients this procedure led to regression of edema, and only one case of thrombosis in the 2nd postoperative month. In the other 6 patients the newly formed anastomosis remained permeable when examined after a mean follow up of 3 years.
Edema↗