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
Full text not available from this repository. (Request a copy)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 Heart Surgery |
UniBE Contributor: |
Danzer, Daniel, Czerny, Martin, Widmer, Matthias |
ISSN: |
1078-5884 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 14:20 |
Last Modified: |
27 Feb 2024 14:29 |
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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