By Hans Scholz
This booklet bargains a finished assessment of updated wisdom on vascular entry surgical procedure. Written by way of a senior writer with greater than 30 years of expertise and via professional individuals, it covers either surgical and theoretical points. the writer stocks his services in a hands-on procedure and provides his perspectives at the problems that each clinician may well come across. a number of the suggestions for vascular entry construction are conscientiously reviewed. specific descriptions and various accompanying illustrations of AV fistulas, AV prosthetic grafts, and arterio arterial grafts are supplied, and a bankruptcy is additionally dedicated to using vital venous catheters. power issues and their administration are defined, and suggestion is obtainable on the best way to care for exact sufferer teams requiring additional cognizance. Separate chapters on fluid dynamics (drawing at the author’s personal learn) and vascular pathology cater for the wishes of these with a specific curiosity within the pathophysiological principles.
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Extra resources for Arteriovenous Access Surgery: Ensuring Adequate Vascular Access for Hemodialysis
7. Wound closure with subcutaneous and epidermal sutures after hemostasis. 3 Arterialization of the Cephalic Vein In addition to the cephalic vein in the forearm, the cephalic vein in the upper arm offers the second most important option of an AV vascular access. Frequently it can be used for many years. Therefore the different ways of its arterialization and reconstruction are discussed in detail. Varieties of Anastomoses Basically there are eight alternatives for the arterialization of the cephalic vein in the cubital region.
Sufficient length of the segment which is suitable for puncture. Technical note Exposure of the artery and vein through separate longitudinal incisions. The preferred diam- Technical note Exposure of the vein via two longitudinal incisions. Separate longitudinal incision for the artery. 3 AV Fistulas in the Cubital Fossa and in the Upper Arm 41 C B Fig. 77 Proximalization of the arterial feeding with a short stenosis of the cubital segment Anastomosing the Cephalic Vein Proximal to the Cubital Fossa A Fig.
88 Repair of a long stenosis of the junction of the cephalic vein with the axillary vein by resection and insertion of a prosthetic graft Fig. 89 Long stenosis of the cephalic vein in the shoulder region. Transposition to the infraaxillary deep vein Arterialization Via the Profound Median Cubital Vein Indication Suitable trunks of the median basilic and profound median cubital veins with sufficient added lengths of both veins to cover the distance to the brachial artery (Fig. 91). 3 AV Fistulas in the Cubital Fossa and in the Upper Arm Fig.
Arteriovenous Access Surgery: Ensuring Adequate Vascular Access for Hemodialysis by Hans Scholz