A modified DRIL procedure by flow reversal of an aborted distal cephalic vein for critical hand ischaemia

Danzer, D; Czerny, M; Widmer, M K (2011). A modified DRIL procedure by flow reversal of an aborted distal cephalic vein for critical hand ischaemia. European journal of vascular and endovascular surgery EJVES, 42(3), pp. 400-2. London: Elsevier 10.1016/j.ejvs.2011.05.004

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Treatment of dialysis access-related hand ischaemia with preservation of the access remains an issue. We report the case of a patient presenting critical hand ischaemia 2 years after proximalisation of a distal radio-cephalic fistula with preservation of the original access. After valvulotomy, the distal cephalic vein was used as in situ bypass and directly anastomosed to the distal brachial artery, providing a direct flow to the hand. This procedure relieved the hand ischaemia without sacrificing the functioning fistula. Six months later, the fistula and bypass were still patent, showing that flow reversal of a previous fistula can be an efficient strategy to correct dialysis access-related hand ischaemia in selected cases.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Danzer, Daniel; Czerny, Martin and Widmer, Matthias Kurt

ISSN:

1078-5884

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:20

Last Modified:

06 Dec 2013 13:27

Publisher DOI:

10.1016/j.ejvs.2011.05.004

PubMed ID:

21641836

Web of Science ID:

000295061800021

URI:

https://boris.unibe.ch/id/eprint/6633 (FactScience: 211631)

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