Direct Arteriovenous Fistula for Hemodialysis

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Abstract
A direct end-to-side anastomosis between the radial artery and the cephalic vein on the forearm was created for hemodialysis in thirty cases. In the authors' experience this procedure makes a valuable contribution to the easier management of hemodialysis as the shunt is less liable to thrombosis and infection, less time is lost in controlling the shunt, and the arm can be used freely between dialyses. A local aneurysm in the anastomosis required reoperation in one case.

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