Surgical correction of venous insufficiency following arteriovenous fistula for hemodialysis
Kindhäuser, V.; Kottmann, F.; Dostal, G.; Eigler, F.W.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 50(6): 359-363
1979
ISSN/ISBN: 0009-4722 PMID: 456183 Document Number: 146812
The percentage of venous insufficiency in the original Cimino-Brescia shunt is very low. In cases of venous insufficiency, early diagnosis is important; operative correction is then easily performed. Ligature of the distal venous limb next to the anastomosis is the treatment of choice, providing the proximal limb is still open. If the proximal limb is obstructed, the distal venous part is dissected and anastomosed to a more proximal vein. The result is an immediately functioning shunt for dialysis.